Active NPI
Susan Ortiz, PT
- Physical Therapist
- Plano, TX
National Provider Identifier
1760700488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1175900
- Practice address
- 4409 Helston Dr
Plano, TX 75024-3748 - Phone
- (214) 566-2687
- Fax
- (866) 323-1955
- NPI assigned
- May 5, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1175900 | TX | Primary |
Addresses
Primary practice location
4409 Helston Dr
Plano, TX 75024-3748
Mailing address
2914 Fayette TRL
Frisco, TX 75034-4494
Phone (214) 436-9990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7 Carnegie PLZ
Cherry Hill, NJ 08003-1000
7 Clyde Rd
Somerset, NJ 08873-5049
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1175900 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehab Ma LLC | Physical Therapist | Current | Accepting new patients |
| Dynamic Therapy, PLLC | Past | Accepting new patients |
Locations
303 Wyman St
Ste 300
Waltham, MA 02451
Phone (781) 330-0577
7 Carnegie Plz
Cherry Hill, NJ 08003
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.
-
- Physical Therapist
- Waltham, MA
- NPI 1497174437
-
- Home Health Agency
- Plano, TX
- NPI 1568557676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1760700488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2914 FAYETTE TRL",
"city": "FRISCO",
"state": "TX",
"postal_code": "750344494",
"telephone_number": "214-436-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4409 HELSTON DR",
"city": "PLANO",
"state": "TX",
"postal_code": "750243748",
"telephone_number": "214-566-2687",
"fax_number": "866-323-1955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "SUSAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1175900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; 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.