Individual provider Active NPI

Gil Lopez, OTR/L

  • Hand Occupational Therapist
  • San Diego, CA
National Provider Identifier
1194391847
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
20094 Issued in CA
Practice address
10972 Barbados Way
San Diego, CA 92126-2080
Phone
(858) 775-7948
NPI assigned
Jun 2, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 20094 CA Primary

Addresses

Primary practice location

10972 Barbados Way
San Diego, CA 92126-2080

Mailing address

10972 Barbados Way
San Diego, CA 92126-2080
Phone (858) 775-7948

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220210002442 CA Practitioner - Occupational Therapist in Private Practice 2567855745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manual Orthopedic Physical Therapy IncGroup PAC ID 4880688910, 20 clinicians

Practice addresses (Care Compare)

885 Canarios CT
Suite 110
Chula Vista, CA 91910-7877
Phone (619) 656-5102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20094CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Manual Orthopedic Physical Therapy Inc CurrentSince Feb 1, 2022 Accepting new patients
Manual Orthopedic Physical Therapy, Inc. Hand CurrentSince Feb 1, 2022 Accepting new patients

Locations

885 Canarios Ct
Ste 110
Chula Vista, CA 91910
Phone (619) 349-0797

955 Lane Ave
Ste 201
Chula Vista, CA 91914
Phone (619) 421-9521

Organizations & group practices 2

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": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1194391847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10972 BARBADOS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262080",
            "telephone_number": "858-775-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10972 BARBADOS WAY",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262080",
            "telephone_number": "858-775-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GIL",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "20094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.