Active NPI
Dhalma Yanisse Marcano Ortiz, MSPT
- Physical Therapist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 040519
- Practice address
- 12612 Challenger Pkwy Ste 365
Orlando, FL 32826-2784 - Phone
- (407) 306-8441
- NPI assigned
- May 16, 2012
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physics Rehab Center | Current | Accepting new patients | |
| Physics Rehab Team, PSC | Physical Therapist | Current | 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.
-
- Multi-Specialty Clinic/Center
- Bayamon, PR
- NPI 1962054395
-
- Physical Disabilities Residential Treatment Facility
- Toa Alta, PR
- NPI 1982928438
Physical Therapist
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.