Active NPI
Jennifer Lopez, OTR
- Pediatric Occupational Therapist
- Allen, TX
National Provider Identifier
1093409195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 123538
- Practice address
- 900 Junction Dr
Allen, TX 75013-5290 - Phone
- (469) 675-3153
- NPI assigned
- Jun 5, 2023
- Last updated
- Jun 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 123538 | TX | Primary |
Addresses
Primary practice location
900 Junction Dr
Allen, TX 75013-5290
Mailing address
149 Princeton XRDS Apt 2301
Princeton, TX 75407-1560
Phone (956) 518-9126
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123538 | TX | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cutting Edge Pediatric Therapy | Pediatrics | Current | Accepting new patients |
Locations
900 Junction Dr
Allen, TX 75013
Phone (469) 675-3153
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685923200000",
"number": "1093409195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 PRINCETON XRDS APT 2301",
"city": "PRINCETON",
"state": "TX",
"postal_code": "754071560",
"telephone_number": "956-518-9126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 JUNCTION DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135290",
"telephone_number": "469-675-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JENNIFER",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-05",
"last_updated": "2023-06-05",
"certification_date": "2023-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TX",
"license": "123538",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.