Tammy Cruz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 24505 Issued in FL

Practice address

8550 Argyle Business Loop Unit 1206
Jacksonville, FL 32244-8917

Phone

(904) 314-4471

NPI assigned

Jan 17, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Tammy Lynne Potthoff Ortega Former name

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": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1518389014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 ARGYLE BUSINESS LOOP UNIT 1206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448917",
            "telephone_number": "904-314-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8550 ARGYLE BUSINESS LOOP UNIT 1206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448917",
            "telephone_number": "904-314-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA 24505",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2100840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "POTTHOFF ORTEGA",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexi Jose Cruz, DC
• Delicia Gonzalez Cruz, OTR/L
• Jaime Cruz, OTRL
• Julian Cruz
• Mya Lynn Cruz
• Tania Cruz, RPH
• Crystal Clear Dental Spa LLC
• Crystal Clear Mental Health LLC
• Crystal McFadden (a loving adult family care home)
• Csi Private Duty Services, Inc (Friends Assisting Seniors and Families)

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, 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 Jan 17, 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.

Verify at the official NPI Registry.