Active NPI
Aniah Jael Ortiz, MAT, LAT, ATC
- Athletic Trainer
- Longview, TX
National Provider Identifier
1497627228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT10217
- Practice address
- 3133 Good Shepherd Way
Longview, TX 75605-7921 - Phone
- (903) 323-6500
- NPI assigned
- Sep 22, 2025
- Sex
- Female
- 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 | AT10217 | TX | Primary |
Addresses
Primary practice location
3133 Good Shepherd Way
Longview, TX 75605-7921
Mailing address
700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 351-2000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT10217 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1497627228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E MARSHALL AVE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756015580",
"telephone_number": "903-351-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3133 GOOD SHEPHERD WAY",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756057921",
"telephone_number": "903-323-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "ANIAH",
"middle_name": "JAEL",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT10217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.