Samantha Ortiz

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

31800 Van Dyke Ave
Warren, MI 48093-7907

Phone

(586) 722-2585

NPI assigned

Feb 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Form and Focus- Rehab and Wellness PLLCGroup PAC ID 9133580152, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Form & Focus- Rehab & Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Saint Clair Shores, MI
  • NPI 1417634296
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1821598673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 DEWEY AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495047335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31800 VAN DYKE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937907",
            "telephone_number": "586-722-2585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danyelle L Orr-McNeil
• Carol Orr
• Orthopaedic Team Rehabilitation LLC
• Orthopedic Medical Building East, Inc.
• Orthopedic Physical Therapy and Rehabilitation LLC
• Robert Orzechowski, MD
• Diana Lynn Osantowski
• Antoun Oska, M.D.
• Brandon Matthew Osmanski, D.O.
• Paula Ottaway, DDS

• Occupational Therapist in Warren, MI
• Providers in Warren, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2018; 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.