Individual provider Active NPI

Paula Maria Ortega Flores, LMT

  • Massage Therapist
  • Milwaukee, WI
National Provider Identifier
1720316730
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
4695-046 Issued in WI
Practice address
2121 South Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207
Phone
(414) 744-0707
Fax
(414) 744-0708
NPI assigned
Dec 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 4695-046 WI Primary
Massage Therapist 225700000X 571550-09

Addresses

Primary practice location

2121 South Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207

Mailing address

2121 South Kinnickinnic Ave
Suite 3
Milwaukee, WI 53207
Phone (414) 744-0707

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

LicenseStateTypeSpecialty
4695-046WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Lakes Physical Therapy PastSince Aug 20, 2007 Accepting new patients
Thera-Dynamics, S.C. PastSince Jan 1, 2013 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1720316730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SOUTH KINNICKINNIC AVE",
            "address_2": "SUITE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53207",
            "telephone_number": "414-744-0707",
            "fax_number": "414-744-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SOUTH KINNICKINNIC AVE",
            "address_2": "SUITE 3",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53207",
            "telephone_number": "414-744-0707",
            "fax_number": "414-744-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGA FLORES",
        "first_name": "PAULA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "4695-046",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": "571550-09",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.