Selene Quetzal Lopez, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1364803 Issued in TX

Practice address

520 Fielder North PLZ
Arlington, TX 76012-2309

Phone

(817) 461-4257

Fax

(817) 461-4865

NPI assigned

Aug 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, TX2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy of El Paso, P.C.Group PAC ID 9638150725, 9 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 and National Provider Directory roles.

• Physiotherapy of El Paso, P.C.

  • Physical Therapist
  • El Paso, TX
  • NPI 1124035050
  Medicare reassignment Care Compare group NPD
• Forefront Community Therapy Inc

  • Physical Therapist
  • Evansville, IN
  • NPI 1821688607
  Medicare reassignment NPD
• Forefront Therapy LLC

  • Physical Therapist
  • Evansville, IN
  • NPI 1295198299
  Medicare reassignment NPD
• Rehab for Life, LLC

  • Physical Therapist
  • Evansville, IN
  • NPI 1932246063
  Medicare reassignment NPD

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1366170805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 VANDELIA ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752358848",
            "telephone_number": "830-719-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 FIELDER NORTH PLZ",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122309",
            "telephone_number": "817-461-4257",
            "fax_number": "817-461-4865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 SE 4th Street",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477131350",
            "country_code": "US",
            "telephone_number": "812-461-6716",
            "fax_number": "812-402-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SELENE",
        "middle_name": "QUETZAL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1364803",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015351A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristal Lopez, CSFA, LSA
• Dawn Haynes Lopez, PHARMD
• Karen Lopez, LPC
• Marco Lopez
• Patricia Michelle Lopez
• Nicollette Rose Lorenz, MS, SLP-INTERN
• Lori Russell-Siemer LLC
• Lorsam Residential Homes Inc
• Deborah C Loth, D. D. S., M. S.
• Hong Lok Lou, DO

• Physical Therapist in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.