Active NPI
Antonio Leonardo Lopes
- Physical Therapist
- Jupiter, FL
National Provider Identifier
1053706614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT15778
- Practice address
- 162 Via Veracruz
Jupiter, FL 33458-6910 - Phone
- (561) 339-8006
- Fax
- (561) 744-1325
- NPI assigned
- Mar 31, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT15778 | FL | Primary |
Addresses
Primary practice location
162 Via Veracruz
Jupiter, FL 33458-6910
Mailing address
162 Via Veracruz
Jupiter, FL 33458-6910
Phone (561) 339-8006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427760000000",
"number": "1053706614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 VIA VERACRUZ",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586910",
"telephone_number": "561-339-8006",
"fax_number": "561-744-1325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 VIA VERACRUZ",
"city": "JUPITER",
"state": "FL",
"postal_code": "334586910",
"telephone_number": "561-339-8006",
"fax_number": "561-744-1325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPES",
"first_name": "ANTONIO",
"middle_name": "LEONARDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-31",
"last_updated": "2015-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT15778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jupiter, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.