Individual provider Active NPI

Woody Lee Ortego

  • Physical Therapist
  • Lafayette, LA
National Provider Identifier
1801145677
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08437R Issued in LA
Practice address
3524 Kaliste Saloom Rd BLDG 2
Ste. 205
Lafayette, LA 70508-7638
Phone
(337) 993-2766
Fax
(337) 993-2764
NPI assigned
Sep 7, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08437R LA Primary

Addresses

Primary practice location

3524 Kaliste Saloom Rd BLDG 2
Ste. 205
Lafayette, LA 70508-7638

Mailing address

3524 Kaliste Saloom Rd BLDG 2
Ste. 205
Lafayette, LA 70508-7638
Phone (337) 993-2766

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121116000109 LA Practitioner - Physical Therapist in Private Practice 6204087489 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Therapy Solutions, LLCGroup PAC ID 8921383688, 37 clinicians

Practice addresses (Care Compare)

401 N College Rd
1B Precision Rehabilitation
Lafayette, LA 70505-2546
Phone (337) 993-2766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08437RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Therapy Solutions, LLC Physical Therapist CurrentSince Apr 1, 2017 Accepting new patients

Locations

3013 Veterans Memorial Dr
Ste 104
Abbeville, LA 70510
Phone (337) 385-5482

1209 Albertson Pkwy
Ste F
Broussard, LA 70518
Phone (337) 993-2766

401 N College Rd
Ste 1B
Lafayette, LA 70506
Phone (337) 993-2766

3524 Kaliste Saloom Rd
Ste 205
Lafayette, LA 70508
Phone (337) 993-2766

983A E Lancaster Ave
Downingtown, PA 19335
Phone (610) 594-2060

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": "1346976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1801145677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 KALISTE SALOOM RD BLDG 2",
            "address_2": "STE. 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087638",
            "telephone_number": "337-993-2766",
            "fax_number": "337-993-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 KALISTE SALOOM RD BLDG 2",
            "address_2": "STE. 205",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087638",
            "telephone_number": "337-993-2766",
            "fax_number": "337-993-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTEGO",
        "first_name": "WOODY",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08437R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.