Active NPI
Joshua A Lopez, MASTERS OF SCIENCE
- Speech-Language Pathologist
- Port Saint Lucie, FL
National Provider Identifier
1356926091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ9909
- Practice address
- 1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302 - Phone
- (772) 336-6928
- NPI assigned
- Mar 15, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ9909 | FL | Primary |
Addresses
Primary practice location
1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302
Mailing address
5261 NW Torino Lakes Cir
Port Saint Lucie, FL 34986-3238
Phone (305) 302-0487
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 |
|---|---|---|---|
| SZ9909 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Speech Therapy Services, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1483 SW Bougainvillea Ave
Port St Lucie, FL 34953
Phone (772) 336-6928
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.
-
- Clinic/Center
- Port Saint Lucie, FL
- NPI 1972721439
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1356926091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5261 NW TORINO LAKES CIR",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349863238",
"telephone_number": "305-302-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1483 SW BOUGAINVILLEA AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349537302",
"telephone_number": "772-336-6928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "JOSHUA",
"middle_name": "A",
"credential": "MASTERS OF SCIENCE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-15",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ9909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Saint Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.