Emmanuel Abuan Ortiz, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042455 Issued in NY

Practice address

111 Longwoods Dr
Saylorsburg, PA 18353-8550

Phone

(570) 202-8098

NPI assigned

Nov 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Action Care Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1134713431

  Physical Therapist

  NPD

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568678400000",
    "number": "1578077004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112115790",
            "telephone_number": "718-302-0456",
            "fax_number": "718-218-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LONGWOODS DR",
            "city": "SAYLORSBURG",
            "state": "PA",
            "postal_code": "183538550",
            "telephone_number": "570-202-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "EMMANUEL",
        "middle_name": "ABUAN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2019-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Litras, LCSWR, CAC, CASAC
• Rebecca Loux, PMHNP
• Sarah Elizabeth Lusto, ATC, LAT
• Richard William Martinetti, P.T.
• Adrienne Marie Moran
• April Parnau, RN
• Rehabilitation Management Specialists, LLC
• Michael Joseph Spece, M.S.
• John Troianiello
• Mollie Unger

• Physical Therapist in Saylorsburg, PA
• Providers in Saylorsburg, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.