Active NPI
Alexis M Ortega, COTA/L
- Contractor
- Mesa, AZ
National Provider Identifier
1972750677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 4143
- Practice address
- 110 W University Dr
Mesa, AZ 85201-5818 - Phone
- (480) 668-1917
- NPI assigned
- Aug 25, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 4143 | AZ | Primary |
Addresses
Primary practice location
110 W University Dr
Mesa, AZ 85201-5818
Mailing address
1600 N Arizona Ave Apt 1063
Chandler, AZ 85225-7197
Phone (480) 291-2090
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 |
|---|---|---|---|
| 4143 | AZ | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1972750677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N ARIZONA AVE APT 1063",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852257197",
"telephone_number": "480-291-2090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W UNIVERSITY DR",
"city": "MESA",
"state": "AZ",
"postal_code": "852015818",
"telephone_number": "480-668-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTEGA",
"first_name": "ALEXIS",
"middle_name": "M",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "AZ",
"license": "4143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.