Individual ProviderJasmine Alexandra OrtizSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4128 Cedar Ridge Rd, Dayton, OH 45414-3908(513) 571-9592PECOS EnrollmentBased on the most recent information from CMS, provider Jasmine Alexandra Ortiz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1992221691Provider TypeIndividualFull NameOrtiz, Jasmine AlexandraGenderFemaleSole ProprietorNoEnumeration Date8/15/2017Last Updated8/15/2017Contact InformationPractice LocationPractice Address4128 Cedar Ridge Rd, Dayton, OH 45414-3908Phone(513) 571-9592FaxUnlisted FaxMailing LocationMailing Address3119 Cloister Ln, Dayton, OH 45449-3505Phone(513) 571-9592FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer