Mark Ralph Ortmann, MS, PT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

15947 Issued in FL

Practice address

11951 US Highway 1 Ste 105
North Palm Beach, FL 33408-2804

Phone

(561) 630-8722

Fax

(561) 630-8729

NPI assigned

Nov 9, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy Sport Medicine IncGroup PAC ID 3173413549, 37 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.5 of 100Reported as individual

Quality

70

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1649380064
  Medicare reassignment Care Compare group NPD
• Premier Physical Therapy & Sports Medicine

  • Physical Therapist
  • Jensen Beach, FL
  • NPI 1265724330
  NPD
• Premier Physical Therapy Sport Medicine Inc

  • Physical Therapist
  • Port St Lucie, FL
  • NPI 1417067844
  NPD

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689744203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "561-630-8722",
            "fax_number": "561-630-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11951 US HIGHWAY 1 STE 105",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334082804",
            "telephone_number": "561-630-8722",
            "fax_number": "561-630-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTMANN",
        "first_name": "MARK",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "MS, PT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "15947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889091900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT NUMBER",
            "identifier": "15947",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline O'Meara, AP
• Ocean Acupuncture of North Palm Beach
• Randall Okolichany, PA-C
• Orthopaedic Care Specialist PL
• Orthoworks Inc
• Palm Beach Gardens Recovery LLC
• Palm Beach Ketamine Therapy LLC (Palm Beach Ketamine Therapy)
• Palm Beach Radiology and Imaging Associates
• Palm Beach Regional MRI Inc
• Palm Pediatric Therapy

• Physical Therapist in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.