Active NPI
Pierre Ortiz, ATC
- Athletic Trainer
- Charlotte, NC
National Provider Identifier
1376964676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 1703
- Practice address
- 4400 Golf Acres Dr
BLD. J, Suite D
Charlotte, NC 28208-5990 - Phone
- (704) 280-5004
- Fax
- (704) 512-3825
- NPI assigned
- Jan 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 1703 | NC | Primary |
Addresses
Primary practice location
4400 Golf Acres Dr
BLD. J, Suite D
Charlotte, NC 28208-5990
Mailing address
PO Box 32861
Charlotte, NC 28232-2861
Phone (704) 280-5004
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388793600000",
"number": "1376964676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 32861",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282322861",
"telephone_number": "704-280-5004",
"fax_number": "704-512-3825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4400 GOLF ACRES DR",
"address_2": "BLD. J, SUITE D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282085990",
"telephone_number": "704-280-5004",
"fax_number": "704-512-3825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "PIERRE",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-04",
"last_updated": "2014-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "1703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.