Individual provider Active NPI

Kenneth W. Ortiz-Vicente, OT

  • Occupational Therapist
  • Caguas, PR
National Provider Identifier
1992981906
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
799 Issued in PR
Practice address
Calle 28 T-1-4
Urb. Turabo Gardens 2
Caguas, PR 00725
Phone
(787) 460-4671
Fax
(787) 703-4343
NPI assigned
Jan 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 799 PR Primary

Addresses

Primary practice location

Calle 28 T-1-4
Urb. Turabo Gardens 2
Caguas, PR 00725

Mailing address

#139 C/la Borinquena
Urb. Mansiones Monte Verde
Cayey, PR 00736-4154
Phone (787) 460-4671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040824001134 PR Practitioner - Occupational Therapist in Private Practice 4688648702 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Pain Interventions PSC PastSince Jan 22, 2024 Accepting new patients
Xcel Rehabilitation Past Accepting new patients

Organizations & group practices 3

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": "1200873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1992981906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "#139 C/LA BORINQUENA",
            "address_2": "URB. MANSIONES MONTE VERDE",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007364154",
            "telephone_number": "787-460-4671",
            "fax_number": "787-703-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 28 T-1-4",
            "address_2": "URB. TURABO GARDENS 2",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-460-4671",
            "fax_number": "787-703-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-VICENTE",
        "first_name": "KENNETH",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-21",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.