Individual provider Active NPI

Katryna Angela Lopez, PT, DPT

  • Physical Therapist
  • Salinas, CA
National Provider Identifier
1083445282
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
306486 Issued in CA
Practice address
143 John St
Salinas, CA 93901-3337
Phone
(831) 422-4782
Fax
(831) 422-4784
NPI assigned
Aug 9, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918003833 CA Practitioner - Physical Therapist in Private Practice 8426599309 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
306486CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Balance Physical Therapy & Human Performance Center, Inc Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Balance Physical Therapy & Human Performance Center, Inc CurrentSince Aug 11, 2024 Accepting new patients
Dewitt Physical Therapy, Inc. Physical Therapist Past Accepting new patients

Locations

143 John St
Salinas, CA 93901
Phone (831) 422-4782

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 306486 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

143 John St
Salinas, CA 93901-3337

Mailing address

143 John St
Salinas, CA 93901-3337
Phone (831) 422-4782

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
CONNECT URL laptop Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2024.

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1083445282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 JOHN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013337",
            "telephone_number": "831-422-4782",
            "fax_number": "831-422-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 JOHN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013337",
            "telephone_number": "831-422-4782",
            "fax_number": "831-422-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KATRYNA",
        "middle_name": "ANGELA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "306486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "company",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "143 John St",
            "city": "Salinas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "939013337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.