Individual provider Active NPI

Marcos Federico Lopez, PT, DPT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1417296302
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1227240 Issued in TX
Practice address
4758 Loma del Sur Dr
Suite a
El Paso, TX 79934-3597
Phone
(915) 755-0738
Fax
(915) 755-6941
NPI assigned
Feb 12, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1227240 TX Primary

Addresses

Primary practice location

4758 Loma del Sur Dr
Suite a
El Paso, TX 79934-3597

Mailing address

4758 Loma del Sur Dr
Suite a
El Paso, TX 79934-3597
Phone (915) 755-0738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131210000534 TX Practitioner - Physical Therapist in Private Practice 4880821263 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Physical Therapy Specialists, IncGroup PAC ID 2567422538, 238 clinicians

Practice addresses (Care Compare)

1324 E Common St
Suite 307
New Braunfels, TX 78130-3566
Phone (830) 625-7310

16625 Huebner Rd
San Antonio, TX 78248-2330
Phone (210) 672-4640

1789 S Bagdad Rd
Suite 102
Leander, TX 78641-3795
Phone (512) 900-3302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
3DPT, PLLC Physical Therapist CurrentSince Feb 18, 2015 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas Physical Therapist CurrentSince Aug 24, 2013 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Texas Physical Therapy Specialists CurrentSince Jan 29, 2018 Accepting new patients
Sports Medicine Associates of San Antonio, PA Physical Therapist CurrentSince Mar 26, 2019 Accepting new patients
Sports Medicine Associates of San Antonio, PA CurrentSince Mar 26, 2019 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Jan 29, 2018 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Aug 24, 2013 Accepting new patients

Locations

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

3500 Oak Lawn Ave
Ste 240
Dallas, TX 75219
Phone (214) 528-3378

8070 Park Ln
Ste 130
Dallas, TX 75231
Phone (469) 372-0021

6011 Harry Hines Blvd
Ste V3
Dallas, TX 75235
Phone (214) 648-6562

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

300 E Sonterra Blvd
Ste 210
San Antonio, TX 78258
Phone (210) 403-2098

21 Spurs Ln
Ste 340
San Antonio, TX 78240
Phone (210) 590-4000

21 Spurs Ln
Ste 300
San Antonio, TX 78240
Phone (210) 561-7137

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1417296302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4758 LOMA DEL SUR DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343597",
            "telephone_number": "915-755-0738",
            "fax_number": "915-755-6941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4758 LOMA DEL SUR DR",
            "address_2": "SUITE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343597",
            "telephone_number": "915-755-0738",
            "fax_number": "915-755-6941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARCOS",
        "middle_name": "FEDERICO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1227240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.