Amanda Mercedes Lopez

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA15761 Issued in FL

Practice address

1555 W 44TH PL Apt 259
Hialeah, FL 33012-7840

Phone

(786) 546-3668

NPI assigned

Mar 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Rehab FL LLCGroup PAC ID 5193245223, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prestige Rehab FL LLC

  • Physical Therapist
  • Bal Harbour, FL
  • NPI 1538992037
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1489708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489708800000",
    "number": "1104367598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 W 44TH PL APT 259",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W 44TH PL APT 259",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127840",
            "telephone_number": "786-546-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "AMANDA",
        "middle_name": "MERCEDES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-17",
        "last_updated": "2017-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA15761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Lopez-Trigo, PHARMD
• Briscilla Ghicela Lopez-Zuniga
• Alain Lopez, RN
• Alejandro Javier Ramon Lopez, LCSW
• Amanda Lopez
• Amarilys Lopez
• Anabel Lopez
• Annya Lopez, LMHC
• Ashley Diana Lopez, DO
• Ashley Michelle Lopez

• Occupational Therapy Assistant in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; 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.