Individual provider Active NPI

Dhalma Yanisse Marcano Ortiz, MSPT

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1699034272
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040519 Issued in NY
Practice address
12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784
Phone
(407) 306-8441
NPI assigned
May 16, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1434 PR
Physical Therapist 225100000X 040519 NY Primary

Addresses

Primary practice location

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784

Mailing address

12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784
Phone (407) 306-8441

Other practice location 1

511 Ave De Hostos
Oficina 103
San Juan, PR 00918-3247
Phone (787) 946-4501

Other practice location 2

800 Poly Pl
Brooklyn, NY 11209-7104
Phone (718) 836-6600 ext. 4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210624003139 PR Practitioner - Physical Therapist in Private Practice 5496034647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Puerto Rico School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physics Rehab CenterGroup PAC ID 7012331440, 3 clinicians

Practice addresses (Care Compare)

Id14 Calle Almacigo
Bayamon, PR 00956-3104
Phone (787) 288-0808

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physics Rehab Center CurrentSince Jun 7, 2021 Accepting new patients
Physics Rehab Team, PSC Physical Therapist CurrentSince Jun 7, 2021 Accepting new patients

Locations

ID14 Calle Almacigo
Bayamon, PR 00956
Phone (787) 288-0808

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699034272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-306-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12612 CHALLENGER PKWY STE 365",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328262784",
            "telephone_number": "407-306-8441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Ave De Hostos",
            "address_2": "Oficina 103",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009183247",
            "country_code": "US",
            "telephone_number": "787-946-4501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Poly Pl",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112097104",
            "country_code": "US",
            "telephone_number": "718-836-6600 x4245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCANO ORTIZ",
        "first_name": "DHALMA",
        "middle_name": "YANISSE",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1434",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.