Agustin Ortiz, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36496 Issued in FL

Practice address

881 NW 99TH Ave Bay 28
Pembroke Pines, FL 33024-6162

Phone

(954) 437-8099

NPI assigned

Dec 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Florida Luna Care Physical Therapy LLC

  • Physical Therapist
  • Jacksonville, FL
  • NPI 1114542032
  Medicare reassignment NPD
• Cora Health Services, Inc

  • Athletic Trainer
  • Lake Placid, FL
  • NPI 1831234350
  NPD (past)

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1215524236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 NW 155TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281508",
            "telephone_number": "954-328-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 NW 99TH AVE BAY 28",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246162",
            "telephone_number": "954-437-8099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "AGUSTIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthopaedic Associates of South Broward PA
• Orthopaedic Center of S Florida
• Orthosmiles,P.a.
• Maria Camila Ortiz Caicedo, PA
• Cynthia Ortiz-Correa, ST
• Angelica Gabriela Ortiz, M.D.
• Teresita Ortiz, PHARM.D.
• Vanessa Ortiz
• Edna Marie Ortolano, OD
• Evelyn Ehiremhen Osakwe

• Physical Therapist in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.