Serena Lyn Lopez, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09225600 Issued in NJ

Practice address

1135 E Veterans Hwy
Jackson, NJ 08527-5090

Phone

(732) 352-9035

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Beginnings Pediatric Therapy SJ

  • Pediatric Occupational Therapist
  • Evesham, NJ
  • NPI 1457166548
  NPD Authorized official
• Sensory Sessions With Serena

  • Clinic/Center
  • Egg Harbor City, NJ
  • NPI 1023871175
  NPD Authorized official

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

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1407628340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 4TH AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154029",
            "telephone_number": "609-276-8553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E VETERANS HWY",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085275090",
            "telephone_number": "732-352-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "SERENA",
        "middle_name": "LYN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09225600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Well 4 Life
• Lydia Berger Locke, MA,CCC-SLP
• Tracy Allyn Lockwood, LCSW
• Imirrah B Logan
• Alysa Rae Longo
• Vanessa Lopez
• Dgyna B. Lorquet, MSW, LCSW
• Lotus Healthcare LLC
• Patsy Payne Loukides, LCSW
• Louro Chiropractic Center LLC

• All providers in Jackson, NJ
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.