Individual provider Active NPI

Vincent Ortiz, PTA

  • Physical Therapy Assistant
  • Coral Gables, FL
National Provider Identifier
1306038518
Registry record updated Aug 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA15919 Issued in FL
Practice address
1200 Anastasia Ave
Coral Gables, FL 33134-6339
Phone
(305) 445-8066
Fax
(305) 913-3141
NPI assigned
Aug 11, 2007
Last updated
Aug 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA15919 FL Primary

Addresses

Primary practice location

1200 Anastasia Ave
Coral Gables, FL 33134-6339

Mailing address

1172 S Dixie Hwy
#548
Coral Gables, FL 33146-2918
Phone (305) 445-8066

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
PTA15919FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sportfit Rehab & Training Past Accepting new patients
Downtown Sportfit Rehab and Training Past Accepting new patients

Organizations & group practices 2

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": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1306038518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1172 S DIXIE HWY",
            "address_2": "#548",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462918",
            "telephone_number": "305-445-8066",
            "fax_number": "305-913-3141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ANASTASIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346339",
            "telephone_number": "305-445-8066",
            "fax_number": "305-913-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "VINCENT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA15919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

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