Individual provider Active NPI

Marina Ortega, COLON HYDROTHERAPIST

  • Health & Wellness Coach
  • Scottsdale, AZ
National Provider Identifier
1932852365
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
License
FFMS215205 Issued in AZ
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

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
FMS215205OtherAZCOLON HYDROTHERAPIST- WELLNESS COACH

Electronic endpoints 1

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
FFMS215205AZMDHealth & 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.

Verify at the official NPI Registry.