Active NPI
Nicole Cortez, MSPT
- Orthopedic Physical Therapist
- Ventura, CA
National Provider Identifier
1487856233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT39264
- Practice address
- 3525 Loma Vista Rd # a
Ventura, CA 93003-3101 - Phone
- (805) 641-6415
- Fax
- (805) 641-6424
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT39264 | CA | Primary |
Addresses
Primary practice location
3525 Loma Vista Rd # a
Ventura, CA 93003-3101
Mailing address
3525 Loma Vista Rd # a
Ventura, CA 93003-3101
Phone (805) 641-6415
Other names 1
- Nicole Harvey
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39264 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1487856233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3525 LOMA VISTA RD # A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033101",
"telephone_number": "805-641-6415",
"fax_number": "805-641-6424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 LOMA VISTA RD # A",
"city": "VENTURA",
"state": "CA",
"postal_code": "930033101",
"telephone_number": "805-641-6415",
"fax_number": "805-641-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORTEZ",
"first_name": "NICOLE",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT39264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "HARVEY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.