Active NPI
Larry Ortega
- Physical Therapy Assistant
- Mesa, AZ
National Provider Identifier
1144822677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Practice address
- 8607 E Pecos Rd Ste 116
Mesa, AZ 85212-6572 - Phone
- (480) 500-1446
- NPI assigned
- Nov 10, 2020
- 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 | Primary |
Addresses
Primary practice location
8607 E Pecos Rd Ste 116
Mesa, AZ 85212-6572
Mailing address
10755 E Simone Ave
Mesa, AZ 85212-9446
Phone (480) 619-3842
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Performance Institute | Orthopedic | Current | Accepting new patients |
Locations
8607 E Pecos Rd
Ste 116
Mesa, AZ 85212
Phone (480) 500-1446
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1144822677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 E SIMONE AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852129446",
"telephone_number": "480-619-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8607 E PECOS RD STE 116",
"city": "MESA",
"state": "AZ",
"postal_code": "852126572",
"telephone_number": "480-500-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "LARRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-10",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.