Jeanette Lopez, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA 8448 Issued in CA

Practice address

4724 36TH Ave NE
Tacoma, WA 98422-4602

Phone

(206) 730-0225

NPI assigned

Feb 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jeanette McHenry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1205374477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 36TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984224602",
            "telephone_number": "206-730-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 36TH AVE NE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984224602",
            "telephone_number": "206-730-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEANETTE",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "PTA 8448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "MCHENRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsha Lopez-Ram
• Agnes Lopez, DNP, FNP
• Alicia Faye Lopez, CDP
• Denise Renee Lopez, A.T.C.
• Genesis Gabriela Lopez, INTERPRETER
• Jesselle Lopez
• Jose Luis Lopez, MD
• Juan Jose Lopez, EMT
• Justin David Lopez, MD
• Justin Kane Lopez

• Physical Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.