Active NPI
Marina Ortega, COLON HYDROTHERAPIST
- Health & Wellness Coach
- Scottsdale, AZ
National Provider Identifier
1932852365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- FFMS215205
- Practice address
- 14220 N Northsight Blvd Ste 150
Scottsdale, AZ 85260-3950 - Phone
- (480) 840-7021
- NPI assigned
- Jan 26, 2022
- 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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | FFMS215205 | AZ | Primary |
Addresses
Primary practice location
14220 N Northsight Blvd Ste 150
Scottsdale, AZ 85260-3950
Mailing address
9030 E Rosemonte Dr
Scottsdale, AZ 85255-5358
Phone (602) 793-0616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FMS215205 | Other | AZ | COLON HYDROTHERAPIST- WELLNESS COACH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | scottsdale | Direct |
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 |
|---|---|---|---|
| FFMS215205 | AZ | MD | Health & Wellness Coach |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1932852365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9030 E ROSEMONTE DR",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852555358",
"telephone_number": "602-793-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14220 N NORTHSIGHT BLVD STE 150",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852603950",
"telephone_number": "480-840-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "MARINA",
"credential": "COLON HYDROTHERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-26",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "AZ",
"license": "FFMS215205",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLON HYDROTHERAPIST- WELLNESS COACH",
"identifier": "FMS215205",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "scottsdale",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "in person",
"address_1": "9030 E Rosemonte Dr",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852555358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.