Individual provider Active NPI

Kimberly Alyce Lopez

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1093360067
Registry record updated Oct 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9618 Huebner Rd Ste 219
San Antonio, TX 78240-1776
Phone
(210) 714-5810
Fax
(210) 714-5811
NPI assigned
Aug 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

9618 Huebner Rd Ste 219
San Antonio, TX 78240-1776

Mailing address

12508 Jones Maltsberger Rd Ste 110
San Antonio, TX 78247-4215
Phone (210) 590-4000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190907000086 TX Practitioner - Physical Therapist in Private Practice 4688903214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

9618 Huebner Rd
Suite 219
San Antonio, TX 78240-1776
Phone (210) 714-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physical Therapy Specialists CurrentSince Aug 6, 2019 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Aug 6, 2019 Accepting new patients

Locations

6836 Austin Center Blvd
Ste 180
Austin, TX 78731
Phone (512) 225-1002

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

300 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 403-2098

12508 Jones Maltsberger Rd
Ste 110
San Antonio, TX 78247

9618 Huebner Rd
Ste 219
San Antonio, TX 78240
Phone (210) 714-5810

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696809600000",
    "number": "1093360067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "210-590-4000",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9618 HUEBNER RD STE 219",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401776",
            "telephone_number": "210-714-5810",
            "fax_number": "210-714-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KIMBERLY",
        "middle_name": "ALYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.