Active NPI
Elvis E Lopez, DPT
- Physical Therapist
- West Palm Beach, FL
National Provider Identifier
1225256936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 22428
- Practice address
- 12519 53Rd Rd N
West Palm Beach, FL 33411-9001 - Phone
- (561) 900-6254
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 22428 | FL | Primary |
Addresses
Primary practice location
12519 53Rd Rd N
West Palm Beach, FL 33411-9001
Mailing address
12519 53Rd Rd N
West Palm Beach, FL 33411-9001
Phone (561) 809-3653
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT22428 | Other | FL | FLORIDA LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 22428 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S & S Optimum Rehab and Staffing Services LLC | Current | Accepting new patients | |
| Oscar W. Farronay, M.D., P.a. | Past | Accepting new patients | |
| Ultimatecare Rehab & Wellness Institute, LLC | Physical Therapist | Past | Accepting new patients |
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.
-
- Home Health Agency
- Delray Beach, FL
- NPI 1336472000
-
- Multi-Specialty Clinic/Center
- Delray Beach, FL
- NPI 1164698296
Physical Therapist
-
- Neurology Physician
- Delray Beach, FL
- NPI 1114914710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1225256936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12519 53RD RD N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334119001",
"telephone_number": "561-809-3653",
"fax_number": "561-498-0733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12519 53RD RD N",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334119001",
"telephone_number": "561-900-6254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ELVIS",
"middle_name": "E",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 22428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE",
"identifier": "PT22428",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.