Active NPI
Joseph M. Lopez, LAT, ATC
- Athletic Trainer
- Richboro, PA
National Provider Identifier
1306384664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RTO000230
- Practice address
- 100 Almshouse Road
Richboro, PA 18954 - Phone
- (215) 357-2000
- NPI assigned
- Feb 7, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RTO000230 | PA | Primary |
| Athletic Trainer | 2255A2300X | 25MT00217000 | NJ |
Addresses
Primary practice location
100 Almshouse Road
Richboro, PA 18954
Mailing address
2703 Levick St
Philadelphia, PA 19149-2941
Phone (215) 758-7408
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00217000 | NJ | MD | Athletic Trainer |
| RTO000230 | PA | MD | Athletic Trainer |
NPI Registry JSON
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": "1306384664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2703 LEVICK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191492941",
"telephone_number": "215-758-7408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ALMSHOUSE ROAD",
"city": "RICHBORO",
"state": "PA",
"postal_code": "18954",
"telephone_number": "215-357-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOSEPH",
"middle_name": "M.",
"credential": "LAT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RTO000230",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00217000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richboro, PA
Sources for this page
- 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.