NPIMap

Organization Active NPI

Origen Orthopedics & Optimal Health

  • Physical Medicine & Rehabilitation Physician
  • Tucson, AZ
National Provider Identifier
1194167858
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
5503 Issued in AZ
Legal business name
ORIGEN ORTHOPEDICS & OPTIMAL HEALTH
Practice address
7790 N Oracle Rd
Suite 150
Tucson, AZ 85704-6579
Phone
(520) 777-9385
Fax
(520) 306-4843
NPI assigned
Jul 23, 2013
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Jonathan Tait, DONPI 1366622466
Title
President
Phone
(520) 777-9385

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5503 AZ Primary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 5503 AZ

Addresses

Primary practice location

7790 N Oracle Rd
Suite 150
Tucson, AZ 85704-6579

Mailing address

7790 N Oracle Rd
Suite 150
Tucson, AZ 85704-6579
Phone (520) 777-9385

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140219001608 AZ Part B Supplier - Clinic/Group Practice 0446480339 Receives reassigned benefits from 1 practitioner
Practice locations: Oro Valley, AZ; Tucson, AZ

National Provider Directory

National Provider Directory

Locations

7790 N Oracle Rd
Ste 150
Tucson, AZ 85704
Phone (520) 575-0929

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JDAGAD

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1194167858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 N ORACLE RD",
            "address_2": "SUITE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046579",
            "telephone_number": "520-777-9385",
            "fax_number": "520-306-4843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7790 N ORACLE RD",
            "address_2": "SUITE 150",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046579",
            "telephone_number": "520-777-9385",
            "fax_number": "520-306-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGEN ORTHOPEDICS & OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "TAIT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-777-9385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "5503",
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "AZ",
            "license": "5503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.