Individual provider Active NPI

Paola Andrea Ortega Garcia

  • Developmental Therapist
  • Riviera Beach, FL
National Provider Identifier
1336659226
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
2810 Wedgewood Plaza Dr
Riviera Beach, FL 33404-1965
Phone
(561) 480-0724
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 224Z00000X OTA17155 FL
Developmental Therapist 222Q00000X FL Primary

Addresses

Primary practice location

2810 Wedgewood Plaza Dr
Riviera Beach, FL 33404-1965

Mailing address

2810 Wedgewood Plaza Dr
Riviera Beach, FL 33404-1965
Phone (561) 480-0724

Other practice location 1

4800 N Federal Hwy Ste 101D
Boca Raton, FL 33431-5178
Phone (561) 900-5504

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
OTA17155FLMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1336659226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 WEDGEWOOD PLAZA DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041965",
            "telephone_number": "561-480-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 WEDGEWOOD PLAZA DR",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041965",
            "telephone_number": "561-480-0724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 N Federal Hwy Ste 101D",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334315178",
            "country_code": "US",
            "telephone_number": "561-900-5504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA GARCIA",
        "first_name": "PAOLA",
        "middle_name": "ANDREA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17155",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riviera Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.