Kineisha J Ortega, OTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

001269 Issued in PR

Practice address

Sec. Villa Palma Calle 14
Parc. 270
Dorado, PR 00646-9789

Phone

(787) 452-6451

NPI assigned

Jan 29, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1073104253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 46 BOX 5411",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469789",
            "telephone_number": "787-452-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SEC. VILLA PALMA CALLE 14",
            "address_2": "PARC. 270",
            "city": "DORADO",
            "state": "PR",
            "postal_code": "006469789",
            "telephone_number": "787-452-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "KINEISHA",
        "middle_name": "J",
        "name_prefix": "Miss",
        "credential": "OTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-29",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PR",
            "license": "001269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "6870953",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamira Oquendo Mustafa
• Brenda Rosa Oquendo, RPH
• Iris Daisy Oquendo, M.S.W
• Kayley M Ortega Sustache
• Priscila Ortega Vazquez
• Ashleymarie Ortiz Cintron
• Alexandra Marie Ortiz Javier, DMD
• Evans Jayson Ortiz Santana, MD
• Mirza I Ortiz Torres, M.D.
• Jesus Ortiz

• Occupational Therapy Assistant in Dorado, PR
• Providers in Dorado, PR by specialty
• Occupational Therapy Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.