Active NPI
Antoinette Rene Ortiz, CMT
- Massage Therapist
- La Puente, CA
National Provider Identifier
1134744436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 77620
- Practice address
- 1363 N Hacienda Blvd
La Puente, CA 91744-1600 - Phone
- (626) 337-0753
- Fax
- (626) 465-4694
- NPI assigned
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 77620 | CA | Primary |
Addresses
Primary practice location
1363 N Hacienda Blvd
La Puente, CA 91744-1600
Mailing address
1250 S Sunset Ave Suite 350
West Covina, CA 91790-9179
Phone (626) 377-0753
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 |
|---|---|---|---|
| 77620 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Wonders Healthcare | 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.
-
- Acupuncturist
- La Puente, CA
- NPI 1336599687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1134744436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S SUNSET AVE SUITE 350",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917909179",
"telephone_number": "626-377-0753",
"fax_number": "626-465-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1363 N HACIENDA BLVD",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917441600",
"telephone_number": "626-337-0753",
"fax_number": "626-465-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ANTOINETTE",
"middle_name": "RENE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-11",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "77620",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Puente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.