Individual provider Active NPI

Randy Rafael Ortiz Martinez, PT, DPT

  • Physical Therapist
  • Kissimmee, FL
National Provider Identifier
1972265023
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT37601 Issued in FL
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

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.25 of 100Reported as group
Quality
94.96
Improvement activities
40
Cost
47.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy World LLC PastSince Feb 1, 2020 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.

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.

Verify at the official NPI Registry.