Vianney A Lopez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2162767 Issued in TX

Practice address

630 E Bravo Blvd Ste 2
Roma, TX 78584-5721

Phone

(956) 847-4424

Fax

(956) 847-4429

NPI assigned

May 17, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Performance Therapeutics - Roma, P.L.L.C.

  • Physical Therapist
  • Roma, TX
  • NPI 1467756403
  NPD
• Performance Therapeutics - Roma PLLC

  • Rehabilitation Clinic/Center
  • Roma, TX
  • NPI 1992225783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1043901366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N 23RD ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785016127",
            "telephone_number": "956-687-4559",
            "fax_number": "956-618-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 E BRAVO BLVD STE 2",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785845721",
            "telephone_number": "956-847-4424",
            "fax_number": "956-847-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "VIANNEY",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2162767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Lopez
• Jorge Lopez, RN
• Josie Lopez, PAC
• Maria Fernanda Lopez, COTA
• Mariela Ytzel Lopez, PHARMD
• Rosalinda Luna-Diaz, PTA
• Baldemar Martinez
• Karleny Mascorro, SLP
• Maida Isabel Mascorro, PHD, NCC, LPC
• Mi Otra Casita El Paraiso

• All providers in Roma, TX
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.