Active NPI
Diego Israel Ortiz, OTR/L
- Occupational Therapist
- Brooklyn, NY
National Provider Identifier
1013689157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019760-01
- Practice address
- 538A Leonard St
Brooklyn, NY 11222-6610 - Phone
- (212) 301-0540
- Fax
- (218) 231-4830
- NPI assigned
- Sep 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019760-01 | NY | Primary |
Addresses
Primary practice location
538A Leonard St
Brooklyn, NY 11222-6610
Mailing address
634 Hancock St
Brooklyn, NY 11233-1109
Phone (718) 755-2867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019760-01 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1013689157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 HANCOCK ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112331109",
"telephone_number": "718-755-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538A LEONARD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112226610",
"telephone_number": "212-301-0540",
"fax_number": "218-231-4830"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "DIEGO",
"middle_name": "ISRAEL",
"name_prefix": "Mr.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019760-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.