Active NPI
Reyna Leticia Lopez, M.S., OTR/L
- Pediatric Occupational Therapist
- Stockton, CA
National Provider Identifier
1144678335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 11110
- Practice address
- 1853 Oak Tree LN
Stockton, CA 95209-4572 - Phone
- (209) 598-7589
- NPI assigned
- May 27, 2016
- Reactivated
- Aug 15, 2025
- 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 | 11110 | CA | Primary |
Addresses
Primary practice location
1853 Oak Tree LN
Stockton, CA 95209-4572
Mailing address
1853 Oak Tree LN
Stockton, CA 95209-4572
Phone (209) 598-7589
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1144678335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1853 OAK TREE LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952094572",
"telephone_number": "209-598-7589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1853 OAK TREE LN",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952094572",
"telephone_number": "209-598-7589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "REYNA",
"middle_name": "LETICIA",
"credential": "M.S., OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-27",
"last_updated": "2025-08-15",
"certification_date": "2022-05-02",
"deactivation_date": "2022-05-02",
"reactivation_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CA",
"license": "11110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.