Individual provider Active NPI

Ommar Ortuvia, PT

  • Physical Therapist
  • Humble, TX
National Provider Identifier
1336617299
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1186243 Issued in TX
Practice address
19298 W Lake Houston Pkwy Ste 240
Humble, TX 77346-4827
Phone
(832) 828-4990
NPI assigned
Nov 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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 1186243 TX Primary

Addresses

Primary practice location

19298 W Lake Houston Pkwy Ste 240
Humble, TX 77346-4827

Mailing address

16427 Jadestone Terrace LN
Houston, TX 77044-1167
Phone (832) 328-8972

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
1186243TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1336617299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16427 JADESTONE TERRACE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770441167",
            "telephone_number": "832-328-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19298 W LAKE HOUSTON PKWY STE 240",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464827",
            "telephone_number": "832-828-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTUVIA",
        "first_name": "OMMAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1186243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.