Justen Joseph Lopez, ATC, LAT, PES, GTS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1602 Issued in CT

Practice address

10 Glenville St
Greenwich, CT 06831-3680

Phone

(518) 258-9828

NPI assigned

Nov 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1356695944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GLENVILLE ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313680",
            "telephone_number": "518-258-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GLENVILLE ST",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068313680",
            "telephone_number": "518-258-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JUSTEN",
        "middle_name": "JOSEPH",
        "credential": "ATC, LAT, PES, GTS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-03",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NY",
            "license": "002612",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 3159",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "1602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Lodato, FNP-C
• Caroline Kiernan Lodato, MD
• Jessica Elizabeth Lodato, MHC
• Paul Gregory Loftus, MS
• Diane K Long, PT
• Heather Luckey
• Lisa J Luehman, FNP-BC, NP-C
• Christen Noel Luetzow, PHARM. D
• Giovanny Luna
• Noah Vincenzo Lupica, MD

• Athletic Trainer in Greenwich, CT
• Providers in Greenwich, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.