Active NPI
Elias Ortiz, PTA
- Physical Therapy Assistant
- Boston, MA
National Provider Identifier
1023285160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 8117
- Practice address
- 1200 Washington St
Unit 103
Boston, MA 02118-2131 - Phone
- (617) 778-5540
- Fax
- (617) 778-5542
- NPI assigned
- May 8, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 8117 | MA | Primary |
Addresses
Primary practice location
1200 Washington St
Unit 103
Boston, MA 02118-2131
Mailing address
33 Lodgen CT
1G
Malden, MA 02148-6046
Phone (617) 233-8153
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8117 | MA | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North South Physical Therapy, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Boston, MA
- NPI 1588732879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1023285160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LODGEN CT",
"address_2": "1G",
"city": "MALDEN",
"state": "MA",
"postal_code": "021486046",
"telephone_number": "617-233-8153",
"fax_number": "617-778-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WASHINGTON ST",
"address_2": "UNIT 103",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182131",
"telephone_number": "617-778-5540",
"fax_number": "617-778-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ELIAS",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-08",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MA",
"license": "8117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.