MEDICARE: DR. SARAH ORTIZ PT

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	25362	MA
2	225100000X	Physical Therapist	300905	CA
3	225100000X	Physical Therapist	PT29258	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1801208368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ORTIZ PT

Provider Business Mailing Address
First Line	:	17141 OCEAN HILL DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-3253
Country	:	US
Telephone Number	:	904-806-4076
Fax Number	:

Provider Business Practice Location Address
First Line	:	177 HUNTINGTON AVE
Second Line	:	STE 1703
City	:	BOSTON
State	:	MA
Zip	:	02115-3153
Country	:	US
Telephone Number	:	857-990-6111
Fax Number	:	857-576-0057

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

Provider Enumeration Date	:	06/02/2014
Last Update Date	:	08/10/2022

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Directions to “ DR. SARAH ORTIZ PT” Practice Location

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