Active NPI
Amy Marie Lopez, PT
- Physical Therapist
- Rochester, NY
National Provider Identifier
1114027158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0283011
- Practice address
- 800 Carter St
Rochester, NY 14621 - Phone
- (585) 338-1400
- Fax
- (585) 336-4845
- NPI assigned
- Sep 22, 2006
- Last updated
- May 19, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0283011 | NY | Primary |
Addresses
Primary practice location
800 Carter St
Rochester, NY 14621
Mailing address
7687 Frontage Rd
Attn Kelly Steele
Cicero, NY 13039-8921
Phone (315) 635-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P0140059WH | Other | NY | BLUE CHOICE |
| 00355266 | Medicaid | NY | |
| 5361 | Other | NY | SIDNEY HILLMAN |
| FA0501 | Other | NY | PREFERRED CARE |
| 9314146 | Other | NY | IHA |
Other names 1
- Amy M Reohr
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0283011 | NY | MD | Physical Therapist |
| 028301 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onondaga Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Syracuse, NY
- NPI 1811094402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463616000000",
"number": "1114027158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7687 FRONTAGE RD",
"address_2": "ATTN KELLY STEELE",
"city": "CICERO",
"state": "NY",
"postal_code": "130398921",
"telephone_number": "315-635-5000",
"fax_number": "315-635-3663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CARTER ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "14621",
"telephone_number": "585-338-1400",
"fax_number": "585-336-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2016-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0283011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P0140059WH",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355266",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIDNEY HILLMAN",
"identifier": "5361",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "FA0501",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "9314146",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "REOHR",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.