Individual provider Active NPI

Nicole Orteza

  • Physical Therapist
  • Bremerton, WA
National Provider Identifier
1124701925
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2500 Cherry Ave Ste 203
Bremerton, WA 98310
Phone
(360) 792-1015
NPI assigned
Aug 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

2500 Cherry Ave Ste 203
Bremerton, WA 98310

Mailing address

2400 NW Myhre Rd Ste 101
Silverdale, WA 98383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231013001883 WA Practitioner - Physical Therapist in Private Practice 4587019344 Reassigns benefits to 1 organization
I20260119000629 MT Practitioner - Physical Therapist in Private Practice 4587019344 Reassigns benefits to 1 organization

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
Montana Made Sports Medicine and Rehab PLLCGroup PAC ID 1153859012, 4 clinicians

Practice addresses (Care Compare)

715 S Haynes Ave
Miles City, MT 59301-4772
Phone (406) 234-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Made Sports Medicine and Rehab PLLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Nov 12, 2024 Accepting new patients
Kitsap Physical Therapy and Sports Clinic PS Inc Physical Therapist CurrentSince Nov 12, 2024 Accepting new patients
Pro Sport Physical Therapy, LLC Physical Therapist CurrentSince Sep 12, 2023 Accepting new patients

Locations

715 S Haynes Ave
Miles City, MT 59301
Phone (406) 234-7009

2500 Cherry Ave
Ste 203
Bremerton, WA 98310
Phone (360) 792-1015

5160 Borgen Blvd
Ste 101
Gig Harbor, WA 98332
Phone (253) 853-4000

2400 NW Myhre Rd
Ste 101
Silverdale, WA 98383
Phone (360) 598-3764

10516 Silverdale Way NW
Ste 110B
Silverdale, WA 98383
Phone (360) 633-8888

2400 NW Myhre Rd
Ste 102
Silverdale, WA 98383
Phone (360) 598-3764

Organizations & group practices 4

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": "1691452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1124701925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 NW MYHRE RD STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "98383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CHERRY AVE STE 203",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "98310",
            "telephone_number": "360-792-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEZA",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-08",
        "last_updated": "2024-12-03",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.