Active NPI
Teresa Ortiz, DPT
- Physical Therapist
- Sacramento, CA
National Provider Identifier
1306163613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 36287
- Practice address
- 10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539 - Phone
- (800) 470-0071
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 36287 | CA | Primary |
Addresses
Primary practice location
10470 Old Placerville Rd
Suite 100
Sacramento, CA 95827-2539
Mailing address
475 Pioneer Ave
Suite 400
Woodland, CA 95776-4905
Phone (530) 406-5620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 36287 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Physical Therapist | Current | Accepting new patients |
| Physical Edge Specialty Services | Physical Therapist | Past | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
10470 Old Placerville Rd
Ste 100
Sacramento, CA 95827
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Physical Therapist
-
- Physical Therapist
- Davis, CA
- NPI 1740894005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1306163613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 PIONEER AVE",
"address_2": "SUITE 400",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957764905",
"telephone_number": "530-406-5620",
"fax_number": "530-406-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10470 OLD PLACERVILLE RD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958272539",
"telephone_number": "800-470-0071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "TERESA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 36287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.