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Justin Miguel Ortiz, PTA

Physical Therapy Assistant in Lutz, FL. Individual provider (NPI-1).

NPI number1700765161
StatusActive
Last updated in NPPESAug 29, 2025

Details

NPI
1700765161
Entity type
Individual (NPI-1)
Name
Justin Miguel Ortiz
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Aug 29, 2025
Certification date
Aug 22, 2025
Last updated
Aug 29, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA32291FLYes

Other names

  • Justin M Ortiz (Professional Name)

Practice location

23012 Sr 54 E
Lutz, FL 33549

Phone 813-536-0129

Mailing address

23012 Sr 54 E
Lutz, FL 33549

Phone 813-536-0129

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapy Assistant providers in Lutz, FL

All 9 Physical Therapy Assistant providers in Lutz · All 2,002 providers in Lutz

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