Individual provider Active NPI

Christy Lee Ortzow, OTR/L

  • Physical Rehabilitation Occupational Therapist
  • Castro Valley, CA
National Provider Identifier
1174815559
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
License
3640 Issued in CA
Practice address
5724 Medallion CT
Castro Valley, CA 94552-1708
Phone
(510) 889-7920
NPI assigned
May 4, 2011
Last updated
May 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 3640 CA Primary

Addresses

Primary practice location

5724 Medallion CT
Castro Valley, CA 94552-1708

Mailing address

5724 Medallion CT
Castro Valley, CA 94552-1708
Phone (510) 889-7920

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3640CAMDClinical Nurse Specialist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304467200000",
    "number": "1174815559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 MEDALLION CT",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945521708",
            "telephone_number": "510-889-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 MEDALLION CT",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945521708",
            "telephone_number": "510-889-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTZOW",
        "first_name": "CHRISTY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CA",
            "license": "3640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; 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.