MEDICARE: WENDY ORTIZ MSPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	22685	FL

General Provider Information

NPI Number	:	1295615664
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY ORTIZ MSPT

Provider Business Mailing Address
First Line	:	9960 CENTRAL PARK BLVD N STE 400
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1705
Country	:	US
Telephone Number	:	561-488-8290
Fax Number	:	561-488-8392

Provider Business Practice Location Address
First Line	:	9960 CENTRAL PARK BLVD N STE 400
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1705
Country	:	US
Telephone Number	:	561-488-8290
Fax Number	:	561-488-8392

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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