Individual provider Active NPI

Reynaldo J Ortiz Martinez

  • Behavior Analyst
  • Miami Lakes, FL
National Provider Identifier
1477095016
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-21-48841 Issued in CO
Practice address
9130 NW 162ND Ter
Miami Lakes, FL 33018-6302
Phone
(786) 720-6082
NPI assigned
Nov 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-21-48841 CO Primary

Addresses

Primary practice location

9130 NW 162ND Ter
Miami Lakes, FL 33018-6302

Mailing address

15800 Pines Blvd Ste 349
Pembroke Pines, FL 33027-1212
Phone (954) 362-5215

Other identifiers 1

IdentifierTypeStateIssuer
019542300MedicaidFL

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

Practice roles

OrganizationSpecialtyStatusNew patients
RKM Therapy Services Corp. Behavior Analyst CurrentSince Oct 29, 2023 Accepting new patients
Kym Therapy Corp. Behavior Analyst Past Accepting new patients

Locations

15800 Pines Blvd
Ste 349
Pembroke Pines, FL 33027
Phone (954) 362-5215

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1477095016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15800 PINES BLVD STE 349",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330271212",
            "telephone_number": "954-362-5215",
            "fax_number": "954-362-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9130 NW 162ND TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330186302",
            "telephone_number": "786-720-6082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ MARTINEZ",
        "first_name": "REYNALDO",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-14",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-21-48841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019542300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.