Individual provider Active NPI

Marco Ortega, PT

  • Physical Therapist
  • Woodhaven, NY
National Provider Identifier
1073205159
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8504 91St Ave
Woodhaven, NY 11421-2523
Phone
(347) 531-5494
NPI assigned
May 25, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

8504 91St Ave
Woodhaven, NY 11421-2523

Mailing address

8504 91St Ave
Woodhaven, NY 11421-2523
Phone (347) 531-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914002895 NY Practitioner - Physical Therapist in Private Practice 4981068541 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolve Physical Therapy, PLLCGroup PAC ID 2668644527, 14 clinicians

Practice addresses (Care Compare)

1317 3Rd Ave
FL 9
New York, NY 10021-2963
Phone (212) 439-1596

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Physical Therapy, PLLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
BRM Physical Therapy PLLC Physical Therapist CurrentSince Jul 8, 2026 Accepting new patients
Babiec & Roth Physical Therapy PLLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients

Locations

1317 3rd Ave
Fl 9
New York, NY 10021
Phone (212) 439-1596

202 W 74th St
New York, NY 10023
Phone (212) 439-1596

295 Robbins Ln
Syosset, NY 11791
Phone (212) 439-1596

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1073205159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8504 91ST AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212523",
            "telephone_number": "347-531-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8504 91ST AVE",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212523",
            "telephone_number": "347-531-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "MARCO",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodhaven, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.