Individual provider Active NPI

Brenda Ortiz Crespo, PHYSICAL THERAPIS

  • Physical Therapist
  • Manati, PR
National Provider Identifier
1235274366
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1199 Issued in PR
Practice address
Rd. #2 Las Vegas BLDG. #420
Bo Campo Alegre
Manati, PR 00674-1086
Phone
(787) 854-1426
Fax
(787) 884-3757
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1199 PR Primary

Addresses

Primary practice location

Rd. #2 Las Vegas BLDG. #420
Bo Campo Alegre
Manati, PR 00674-1086

Mailing address

Carr. #2
Edif. Las Vegas #420, Bo Campo Alegre
Manati, PR 00674-1086
Phone (787) 854-1426

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

State licenses

LicenseStateTypeSpecialty
1199PRMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Corporacion Las Vegas Inc Past Accepting new patients

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235274366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CARR. #2",
            "address_2": "EDIF. LAS VEGAS #420, BO CAMPO ALEGRE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741086",
            "telephone_number": "787-854-1426",
            "fax_number": "787-884-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RD. #2 LAS VEGAS BLDG. #420",
            "address_2": "BO CAMPO ALEGRE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741086",
            "telephone_number": "787-854-1426",
            "fax_number": "787-884-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ CRESPO",
        "first_name": "BRENDA",
        "name_prefix": "Miss",
        "credential": "PHYSICAL THERAPIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.