Individual provider Active NPI

Ma Carla Mosquite Orienza

  • Physical Medicine & Rehabilitation Physician
  • Winchester, IN
National Provider Identifier
1760144091
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
05013689A Issued in IN
Practice address
701 S Oak St
Winchester, IN 47394-2229
Phone
(765) 584-2201
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 05013689A IN Primary

Addresses

Primary practice location

701 S Oak St
Winchester, IN 47394-2229

Mailing address

1501 N Gavin St
Muncie, IN 47303-3323
Phone (812) 603-3162

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laptop

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
05013689AINMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1760144091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 N GAVIN ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033323",
            "telephone_number": "812-603-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S OAK ST",
            "city": "WINCHESTER",
            "state": "IN",
            "postal_code": "473942229",
            "telephone_number": "765-584-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORIENZA",
        "first_name": "MA CARLA",
        "middle_name": "MOSQUITE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "05013689A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "701 S Oak St",
            "city": "Winchester",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473942229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winchester, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.