Jacqueline Ortiz

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1731 SW Whipple Ave
Port St Lucie, FL 34953-5154

Phone

(772) 267-1862

Fax

(954) 272-7968

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1376043919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 SW WHIPPLE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535154",
            "telephone_number": "772-267-1862",
            "fax_number": "954-272-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 SW WHIPPLE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349535154",
            "telephone_number": "772-267-1862",
            "fax_number": "954-272-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JACQUELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orthotic & Prosthetic Centers, Inc.
• Orthotic & Prosthetic Clinic Inc
• Kiomary Ortiz Aponte
• Sara Maria Ortiz Cabrales, RBT
• Trina Ortiz-Hughes, FNP-C
• Laura Ortiz
• Stephanie Osborne
• Elizabeth Ann Osler, OTR/L
• Lisa Anne Ostrom, PHARMD, BCPS
• Meylen De la Caridad Otano

• Behavior Technician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.