Individual provider Active NPI

Rhea Jane A Lopez

  • Physical Therapist
  • Poughkeepsie, NY
National Provider Identifier
1144749102
Registry record updated Sep 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
140 Main St
Poughkeepsie, NY 12601-3018
Phone
(718) 594-7406
Fax
(718) 594-7406
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

140 Main St
Poughkeepsie, NY 12601-3018

Mailing address

57 Cannon St Unit 302
Poughkeepsie, NY 12601-3263
Phone (718) 594-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200616001835 NY Practitioner - Physical Therapist in Private Practice 0648692814 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038460NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Prokinetics Physical Therapy P.C. Physical Therapist CurrentSince Dec 20, 2023 Accepting new patients
Rehab on Wheels OT PT PLLC Physical Therapist CurrentSince Dec 20, 2023 Accepting new patients

Locations

8419 Bay Pkwy
Brooklyn, NY 11214
Phone (718) 259-0199

174 Bay 29th St
Ste C1
Brooklyn, NY 11214
Phone (646) 750-4455

3099 Emmons Ave
#1
Brooklyn, NY 11235
Phone (646) 750-4455

174 Bay 29th St
#C1
Brooklyn, NY 11214
Phone (718) 676-2698

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505088000000",
    "number": "1144749102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 CANNON ST UNIT 302",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013263",
            "telephone_number": "718-594-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013018",
            "telephone_number": "718-594-7406",
            "fax_number": "718-594-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RHEA JANE",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2017-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.