Mark R Ortmann (NPI# 1689744203, PAC ID# 8820047293) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1689744203 |
| PAC ID by PECOS | 8820047293 |
| Professional Enrollment ID | I20050114000010 |
| Full Name | Mark R Ortmann |
| Organization Legal Name | PREMIER PHYSICAL THERAPY SPORT MEDICINE INC |
| Address |
1400 Segoldtree Dr Suite 205 Port Saint Lucie FL 34952-7583 |
| Phone Number | 7723357966 |
| Gender | M |
| Credential | PT |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 3173413549 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 800 Virginia Ave, Suite 48, Fort Pierce, FL 34982-5893 | 7724646424 | PREMIER PHYSICAL THERAPY SPORT MEDICINE INC |
| 897 Ne Jensen Beach Blvd, Jensen Beach, FL 34957-4799 | 7723243080 | PREMIER PHYSICAL THERAPY SPORT MEDICINE INC |
| 3660 Sw 30th Ave, Palm City, FL 34990-3700 | 7723357966 | PREMIER PHYSICAL THERAPY SPORT MEDICINE INC |
| 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 | 7723357966 | PREMIER PHYSICAL THERAPY SPORT MEDICINE INC |
| Organization Legal Name | PREMIER PHYSICAL THERAPY SPORT MEDICINE INC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin Spooner | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 519 Nw Lake Whitney Place, Suite 101, Port St Lucie, FL 34987 |
| Joshua J Simons | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Daniel J Pierce | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Katherine Cancino | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| James E Newton | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Caleb A Scholl | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Kelly R Hadley | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Jeffrey A Tucker | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Street Address |
1400 SEGOLDTREE DR SUITE 205 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip | 34952-7583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Simons | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Daniel J Pierce | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Katherine Cancino | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| James E Newton | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Caleb A Scholl | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Kelly R Hadley | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Jeffrey A Tucker | Physical Therapy | Premier Physical Therapy Sport Medicine Inc | 1400 Segoldtree Dr, Suite 205, Port Saint Lucie, FL 34952-7583 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Claudia Patricia Santamaria | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Heather L Hackney | Qualified Audiologist | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Cynthia J Rogers | Dermatology | 8503 S Us, Suite 1, Port St Lucie, FL 34952 | |
| Anthony Glenn Rogers | Anesthesiology | Port St Lucie Pain Management Pllc | 8235s Us Hwy 1, Port St Lucie, FL 34952 |
| Diane Leigh Pugh | Family Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| James L Autin | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Carolyn A Rawdon | Nurse Practitioner | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Kenneth Weiss | Otolaryngology | James L Autin Md Pa | 10377s Us One Hwy 101, Port Saint Lucie, FL 34952 |
| Ravi Mehan | Internal Medicine | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Glynnis Jayne Lyons | General Practice | Primary Care Associates, Pa | 8483 S Us, Suite 19, Port St Lucie, FL 34952 |
| Find all physicians in zip 34952 | |||
| City | PORT SAINT LUCIE |
| Zip Code | 34952 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | PORT SAINT LUCIE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mark R Ortmann.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.