Active NPI
Randy Rafael Ortiz Martinez, PT, DPT
- Physical Therapist
- Kissimmee, FL
National Provider Identifier
1972265023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37601
- Practice address
- 395 Village Dr
Kissimmee, FL 34759-4012 - Phone
- (407) 914-9168
- NPI assigned
- Oct 6, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37601 | FL | Primary |
Addresses
Primary practice location
395 Village Dr
Kissimmee, FL 34759-4012
Mailing address
2749 Woodstream Cir
Kissimmee, FL 34743-5348
Phone (407) 414-6913
Other practice location 1
1000 Emmett St Ste 102
Kissimmee, FL 34741-3605
Phone (407) 913-1010 ext. 100
Other practice location 2
4119 Neptune Rd
Saint Cloud, FL 34769-6741
Phone (407) 913-1010 ext. 300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.25 of 100
- Quality
- 94.96
- Improvement activities
- 40
- Cost
- 47.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy World LLC | Past | Accepting new patients | |
| Therapy World LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Kissimmee, FL
- NPI 1750913588
-
- Clinic/Center
- Saint Cloud, FL
- NPI 1770115537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1972265023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2749 WOODSTREAM CIR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347435348",
"telephone_number": "407-414-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 VILLAGE DR",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347594012",
"telephone_number": "407-914-9168"
}
],
"practiceLocations": [
{
"address_1": "1000 Emmett St Ste 102",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347413605",
"country_code": "US",
"telephone_number": "407-913-1010 x100",
"fax_number": "407-992-8697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4119 Neptune Rd",
"address_purpose": "LOCATION",
"city": "Saint Cloud",
"state": "FL",
"postal_code": "347696741",
"country_code": "US",
"telephone_number": "407-913-1010 x300",
"fax_number": "407-992-8697",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ MARTINEZ",
"first_name": "RANDY",
"middle_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-10-06",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.