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Contact Information

JUSTIN M ORTIZ, PTA
23012 SR 54 E
LUTZ, FL33549
 Phone: 813-536-0129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for JUSTIN M ORTIZ · (Male)

NPI Number 1700765161
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 08/29/2025
Last updated 08/29/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • FL License # PTA32291
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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