Jamie Michelle Ornelas, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10711 Issued in AZ

Practice address

12211 Pegasus Rd
Bellemont, AZ 86015-5112

Phone

(619) 804-6261

NPI assigned

May 19, 2016

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mobile Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Flagstaff, AZ
  • NPI 1770110801
  NPD Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1205283173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30212",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860030212",
            "telephone_number": "619-804-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12211 PEGASUS RD",
            "city": "BELLEMONT",
            "state": "AZ",
            "postal_code": "860155112",
            "telephone_number": "619-804-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNELAS",
        "first_name": "JAMIE",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "10711",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilberto Contreras
• Harriet Hill
• Kiley Huntington, LCSW
• Shanon Landauer, PT, DPT
• Ashley Dawn Lester, SLPA
• Ponderosa Fire District
• Ponderosa Senior Assisted Living, LLC
• Tiffany Swartz, RD
• Morgan McKinley Unmacht

• Physical Therapist in Bellemont, AZ
• Providers in Bellemont, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.