Antionette Lynn Lopez, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

752 S Fleming Dr
Pueblo West, CO 81007-7547

Phone

(719) 248-2263

NPI assigned

Jul 15, 2009

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1427288166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 S FLEMING DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077547",
            "telephone_number": "719-248-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 S FLEMING DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810077547",
            "telephone_number": "719-248-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ANTIONETTE",
        "middle_name": "LYNN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charla Lanham, PHARMD
• Kaylene R Larimore, MSW
• Jerilee Larrinaga
• Christopher Nicholas Liontas, DDS
• Megan Ranay Lodge, RN
• Joni Lownsdale, MSED, PLPC
• Jennifer Noel Lucero
• Jami Mach, PHD
• Robert Richard Maes, CAC III
• Maguy Medical Transport

• Physical Therapy Assistant in Pueblo West, CO
• Providers in Pueblo West, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.