Individual provider Active NPI

Christopher Richard Lopez, MS PT OCS CSCS

  • Physical Therapist
  • Mineola, NY
National Provider Identifier
1245316900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0185591 Issued in NY
Practice address
60 East Jericho Tpke
Physical Solutions
Mineola, NY 11501
Phone
(516) 746-6350
Fax
(516) 746-6696
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0185591 NY Primary

Addresses

Primary practice location

60 East Jericho Tpke
Physical Solutions
Mineola, NY 11501

Mailing address

60 East Jericho Tpke
Mineola, NY 11501
Phone (516) 746-6350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000002 NY Practitioner - Physical Therapist in Private Practice 4587606280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Solutions LLPGroup PAC ID 7214828789, 2 clinicians

Practice addresses (Care Compare)

1211 Stewart Ave
Bethpage, NY 11714-1601
Phone (516) 576-5751

60 E Jericho Tpke
Mineola, NY 11501-3141
Phone (516) 746-6350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0185591NYMDPhysical Therapist
018559NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Solutions LLP Physical Therapist CurrentSince Jan 1, 2001 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients
Sports Physical Therapy of New York, P.C. Physical Therapist Past Accepting new patients

Locations

1211 Stewart Ave
Bethpage, NY 11714
Phone (516) 465-3998

60 E Jericho Tpke
Mineola, NY 11501
Phone (516) 746-6350

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245316900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 EAST JERICHO TPKE",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-746-6350",
            "fax_number": "516-746-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAST JERICHO TPKE",
            "address_2": "PHYSICAL SOLUTIONS",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "11501",
            "telephone_number": "516-746-6350",
            "fax_number": "516-746-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MS PT OCS CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0185591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.