Active NPI
Madeleine Ortega, PT
- Physical Therapist
- Evans, CO
National Provider Identifier
1861767394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9832
- Practice address
- 3006 Bison CT
Evans, CO 80620-9153 - Phone
- (970) 396-8528
- NPI assigned
- Mar 16, 2012
- Last updated
- Mar 16, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9832 | CO | Primary |
| Physical Therapist | 225100000X | PT 20947 | FL |
Addresses
Primary practice location
3006 Bison CT
Evans, CO 80620-9153
Mailing address
3006 Bison CT
Evans, CO 80620-9153
Phone (970) 396-8528
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 20947 | FL | MD | Physical Therapist |
| 9832 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331856000000",
"number": "1861767394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3006 BISON CT",
"city": "EVANS",
"state": "CO",
"postal_code": "806209153",
"telephone_number": "970-396-8528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3006 BISON CT",
"city": "EVANS",
"state": "CO",
"postal_code": "806209153",
"telephone_number": "970-396-8528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "MADELEINE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-16",
"last_updated": "2012-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9832",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 20947",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.