Active NPI
Daniel Lopez, DPT
- Physical Therapist
- Topsham, ME
National Provider Identifier
1265636120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3628
- Practice address
- 3 Horton PL
Topsham, ME 04086-1745 - Phone
- (207) 798-6921
- Fax
- (207) 798-6829
- NPI assigned
- Jun 13, 2007
- Last updated
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PT3628 | ME | Primary |
Addresses
Primary practice location
3 Horton PL
Topsham, ME 04086-1745
Mailing address
3 Horton PL
Topsham, ME 04086-1745
Phone (207) 798-6921
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y68678 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0713279 | Medicaid | MA |
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 |
|---|---|---|---|
| PT3628 | ME | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connections Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Burlington Physical Therapy, PC Dba Orthopaedics Plus | Physical Therapist | Past | Accepting new patients |
| Burlington Physical Therapy, PC, Dba Orthopaedics Plus | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Orthopaedics Plus
- Physical Therapist
- Beverly, MA
- NPI 1912204850
-
dba Orthopaedics Plus
- Physical Therapist
- Bedford, MA
- NPI 1932130465
-
- Physical Therapist
- Wellesley, MA
- NPI 1699752931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1265636120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HORTON PL",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861745",
"telephone_number": "207-798-6921",
"fax_number": "207-798-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HORTON PL",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861745",
"telephone_number": "207-798-6921",
"fax_number": "207-798-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DANIEL",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-13",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT3628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y68678",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0713279",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Topsham, ME
- Jonathan Folsom Lendrum
- Sarah Levy
- Bryan Christopher Lewis, M.D.
- Adam Liegner, MD
- Susan M Lohnes, NP
- Shayla Arlene Inniss Lucier, OT
- Maine Center for Cancer Medicine & Blood Disorders, P.a. (New England Cancer Specialists)
- Maine School Administrative District #75
- Maine Urgent Care, LLC
- Mainehealth (MH Primary Care Internal Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.