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
- Last updated
- Mar 29, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37601 | FL | MD | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.