Sean Miyaki Lopez, MOT

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OT4676 Issued in NM

Practice address

505 Elm St NE
Albuquerque, NM 87102-2500

Phone

(505) 727-3601

Fax

(505) 727-9840

NPI assigned

Nov 10, 2022

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lovelace Unm Rehabilitation Hospital, LLCGroup PAC ID 5799061917, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lovelace Unm Rehabilitation Hospital LLC

  • Rehabilitation Hospital
  • Albuquerque, NM
  • NPI 1700325677
  Medicare reassignment Care Compare group NPD
• Lovelace Unm Rehabilitation Hospital, LLC

  dba Lovelace Rehabilitation Hospital-Rio Rancho

  • Clinic/Center
  • Rio Rancho, NM
  • NPI 1215411814
  NPD
• Southwest Medical Associates, LLC

  dba Lovelace Medical Group

  • General Practice Physician
  • Albuquerque, NM
  • NPI 1164491072
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1356059059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022500",
            "telephone_number": "505-727-3601",
            "fax_number": "505-727-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 ELM ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022500",
            "telephone_number": "505-727-3601",
            "fax_number": "505-727-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYAKI LOPEZ",
        "first_name": "SEAN",
        "credential": "MOT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "NM",
            "license": "OT4676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM OT LICENSE",
            "identifier": "OT4676",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pradeep Mitta, MD
• Aditi Mittal, MD
• Vipin Mittal
• Henry Lawrance Mittleman, DPM
• Shana Mix, RDH
• Felicia Mize
• Terry Mize, PA-C
• MJ Zimmerman LPCC, LLC (MJ Zimmerman LPCC)
• MJR Communication Therapy, LLC
• MJRX II LLC (Best Buy Drugs)

• Neurorehabilitation Occupational Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Neurorehabilitation Occupational Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.