Active NPI
Teresa Rose Lozano, DPT
- Physical Therapist
- Wentzville, MO
National Provider Identifier
1316314073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2015027177
- Practice address
- 1428 W Meyer Rd
Wentzville, MO 63385-3499 - Phone
- (636) 887-3660
- Fax
- (636) 887-3661
- NPI assigned
- Aug 28, 2015
- Sex
- Female
- 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 | 2015027177 | MO | Primary |
Addresses
Primary practice location
1428 W Meyer Rd
Wentzville, MO 63385-3499
Mailing address
607 Dewey Ave NW
Ste 300
Grand Rapids, MI 49504-7335
Phone (616) 356-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13660955 | Other | MO | CAQH |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Babar Enterprises LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Excel Sports and Physical Therapy
- Physical Therapist
- Warrenton, MO
- NPI 1548425002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464480000000",
"number": "1316314073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 DEWEY AVE NW",
"address_2": "STE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495047335",
"telephone_number": "616-356-5000",
"fax_number": "616-356-5001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1428 W MEYER RD",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853499",
"telephone_number": "636-887-3660",
"fax_number": "636-887-3661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOZANO",
"first_name": "TERESA",
"middle_name": "ROSE",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-28",
"last_updated": "2016-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2015027177",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13660955",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.