Orthomed LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ORTHOMED LLC

Practice address

8820 E Broadway Blvd
Tucson, AZ 85710-4035

Phone

(520) 829-7741

NPI assigned

Dec 30, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Serena Lewis

Title

Administrator

Phone

(520) 829-7712

Specialties & licenses 1

Addresses

Other names 1

• ProActive Physical Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1003204942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64207",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857284207",
            "telephone_number": "520-829-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857104035",
            "telephone_number": "520-829-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOMED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "520-829-7712"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProActive Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Kristine Ortega, RN
• Orthassist
• Ortho Sport & Spine Physicians Tucson
• Orthodontic Professionals PC
• Orthodontic Specialists of Tucson, PC
• Orthomed LLC
• Orthomed LLC
• Orthomed LLC
• Orthomed LLC
• Orthomed, LLC

• Physical Therapy Clinic/Center in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Physical Therapy Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.