Active NPI
Aristeo Christian Lopez
- Physical Therapist
- New York, NY
National Provider Identifier
1104074277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 038217
- Practice address
- 205 E 94TH St
New York, NY 10128-3709 - Phone
- (646) 823-9337
- Fax
- (646) 823-9337
- NPI assigned
- Sep 3, 2008
- 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 | 038217 | NY | Primary |
Addresses
Primary practice location
205 E 94TH St
New York, NY 10128-3709
Mailing address
205 E 94TH St
New York, NY 10128-3709
Phone (646) 823-9337
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": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1104074277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E 94TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283709",
"telephone_number": "646-823-9337",
"fax_number": "646-823-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 E 94TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101283709",
"telephone_number": "646-823-9337",
"fax_number": "646-823-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ARISTEO CHRISTIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "038217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.