Active NPI
Ruben O Ortiz, LMT
- Massage Therapist
- Baltimore, MD
National Provider Identifier
1679269237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- M05205
- Practice address
- 1250 Sargeant St
Baltimore, MD 21223-3630 - Phone
- (443) 414-0756
- NPI assigned
- Apr 17, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | M05205 | MD | Primary |
Addresses
Primary practice location
1250 Sargeant St
Baltimore, MD 21223-3630
Mailing address
1250 Sargeant St
Baltimore, MD 21223-3630
Phone (443) 414-0756
Other practice location 1
10314B Baltimore National Pike
Ellicott City, MD 21042-2128
Phone (410) 720-2464
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 |
|---|---|---|---|
| M05205 | MD | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681689600000",
"number": "1679269237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 SARGEANT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212233630",
"telephone_number": "443-414-0756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 SARGEANT ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212233630",
"telephone_number": "443-414-0756"
}
],
"practiceLocations": [
{
"address_1": "10314B Baltimore National Pike",
"address_purpose": "LOCATION",
"city": "Ellicott City",
"state": "MD",
"postal_code": "210422128",
"country_code": "US",
"telephone_number": "410-720-2464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ",
"first_name": "RUBEN",
"middle_name": "O",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-17",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MD",
"license": "M05205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.