Ismael Ortiz Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

25436 Issued in FL

Practice address

2605 Buckhorn Preserve Blvd
Valrico, FL 33596-6511

Phone

(727) 768-2212

NPI assigned

Apr 17, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1386131126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 BUCKHORN PRESERVE BLVD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 BUCKHORN PRESERVE BLVD",
            "city": "VALRICO",
            "state": "FL",
            "postal_code": "335966511",
            "telephone_number": "727-768-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "ISMAEL",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "25436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan O'Hearn, PTA
• Kevin Reinier Ochoa Casas, M.S., BCBA
• Cynthia Odukomaiya
• Emmy J. Olson, B.A./SLP-A
• Elsie Aimee Orellano Laureano, PH.D.,RDN,LMT,CSOWM
• Melissa Ortiz, LMT, PTA
• Daniela De Jesus Osoria Lobaina
• Jessica Ellen Ospina, APRN-C
• Christina M Oszust
• Candido Otero Arcis, APRN

• Physical Therapy Assistant in Valrico, FL
• Providers in Valrico, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.