Active NPI
Jose Luis Ortiz, CCC/SLP
- Speech-Language Pathologist
- Goliad, TX
National Provider Identifier
1912488248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16595
- Practice address
- 225 E Ward St
Goliad, TX 77963-4006 - Phone
- (361) 645-8902
- NPI assigned
- Aug 24, 2018
- Last updated
- Aug 24, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16595 | TX | Primary |
Addresses
Primary practice location
225 E Ward St
Goliad, TX 77963-4006
Mailing address
6518 Downing St
Corpus Christi, TX 78414-3516
Phone (361) 834-7372
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 |
|---|---|---|---|
| 16595 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1912488248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6518 DOWNING ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784143516",
"telephone_number": "361-834-7372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E WARD ST",
"city": "GOLIAD",
"state": "TX",
"postal_code": "779634006",
"telephone_number": "361-645-8902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "JOSE",
"middle_name": "LUIS",
"credential": "CCC/SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-24",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goliad, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.