Individual provider Active NPI

Jose Juan Ortiz, COTA

  • Occupational Therapy Assistant
  • Bronx, NY
National Provider Identifier
1588890156
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
002850-1 Issued in NY
Practice address
3140 Godwin Terrace
Apt E
Bronx, NY 10463-5469
Phone
(646) 261-6160
Fax
(347) 427-0510
NPI assigned
Jun 9, 2009
Last updated
Jun 9, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 002850-1 NY Primary

Addresses

Primary practice location

3140 Godwin Terrace
Apt E
Bronx, NY 10463-5469

Mailing address

3140 Godwin Terrace
Apt E
Bronx, NY 10463-5469
Phone (646) 261-6160

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

LicenseStateTypeSpecialty
002850-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244505600000",
    "number": "1588890156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 GODWIN TERRACE",
            "address_2": "APT E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635469",
            "telephone_number": "646-261-6160",
            "fax_number": "347-427-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 GODWIN TERRACE",
            "address_2": "APT E",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635469",
            "telephone_number": "646-261-6160",
            "fax_number": "347-427-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "JOSE",
        "middle_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NY",
            "license": "002850-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.