Individual provider Active NPI

Erika Nicole Lopez, PT, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1336693548
Registry record updated Jul 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT32396 Issued in FL
Practice address
9461 SW 119TH CT
Miami, FL 33186-2007
Phone
(305) 401-2105
NPI assigned
Aug 5, 2016
Last updated
Jul 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT32396 FL Primary
Physical Therapist 225100000X PT4698 ME

Addresses

Primary practice location

9461 SW 119TH CT
Miami, FL 33186-2007

Mailing address

9461 SW 119TH CT
Miami, FL 33186-2007
Phone (305) 401-2105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221220001136 VA Practitioner - Physical Therapist in Private Practice 5294023214 Reassigns benefits to 1 organization
I20230622001251 FL Practitioner - Physical Therapist in Private Practice 5294023214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lavender Physical Therapy and Wellness, LLCGroup PAC ID 3577916287, 3 clinicians

Practice addresses (Care Compare)

2100 SW 22ND St
Suite 404
Miami, FL 33145-2657
Phone (305) 203-3074

Merit-based Incentive Payment System (MIPS)

Final score
83.26 of 100Reported as group
Quality
86.58
Improvement activities
40
Cost
68.79

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT32396FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Lavender Physical Therapy & Wellness, LLC Physical Therapist CurrentSince Jan 22, 2024 Accepting new patients

Locations

4649 Ponce de Leon Blvd
Ste 302
Coral Gables, FL 33146
Phone (305) 203-3074

2100 SW 22nd St
Ste 404
Miami, FL 33145
Phone (305) 203-3074

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

1441 W Main St
Salem, VA 24153
Phone (540) 346-1328

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688256000000",
    "number": "1336693548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 SW 119TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862007",
            "telephone_number": "305-401-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9461 SW 119TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331862007",
            "telephone_number": "305-401-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ERIKA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-05",
        "last_updated": "2023-07-02",
        "certification_date": "2023-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT32396",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4698",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2023; 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.