Peter Justin Orgass Jr., ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL3694 Issued in FL

Practice address

5700 Saddlebrook Way
Wesley Chapel, FL 33543-4499

Phone

(352) 263-3330

NPI assigned

Jul 12, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. PJ Justin Orgass Other 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": "1499817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499817600000",
    "number": "1689196594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12413 SPREADING OAK DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346094068",
            "telephone_number": "352-263-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SADDLEBROOK WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335434499",
            "telephone_number": "352-263-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGASS",
        "first_name": "PETER",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-12",
        "last_updated": "2017-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PJ",
            "last_name": "ORGASS",
            "middle_name": "JUSTIN",
            "prefix": "MR.",
            "credential": "ATC, LAT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Athletic Trainer in Wesley Chapel, FL
• Providers in Wesley Chapel, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; 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.