Juan Lopez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA27791 Issued in FL

Practice address

10794 Pines Blvd Ste 104
Pembroke Pines, FL 33026-3920

Phone

(954) 735-3535

NPI assigned

Dec 4, 2017

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Total Orthopaedic Care PA

  • Orthopaedic Surgery Physician
  • Lauderdale Lakes, FL
  • NPI 1558317545
  NPD (past)
• Total Orthopaedic Care, P.a.

  • Orthopaedic Surgery Physician
  • Pembroke Pines, FL
  • NPI 1861708570
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512345600000",
    "number": "1144735838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 NW 55TH ST",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333193256",
            "telephone_number": "954-682-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10794 PINES BLVD STE 104",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263920",
            "telephone_number": "954-735-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alina Lopez
• Gisell Estrella Lopez, PSY.D.
• Gracia Maria Lopez
• Jennifer Lopez
• Jocelyn Damaris Lopez, NP
• Leslie V Lopez
• Liz Mary Lopez
• Maria Lopez
• Maria Esther Lopez
• Romina Lopez

• Physical Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.