Active NPI
Federico Lopez Jr.
- Physical Therapist
- Fort Sam Houston, TX
National Provider Identifier
1427672195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1294526
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 539-9582
- NPI assigned
- May 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1294526 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
19702 Bella Loma Apt 8307
San Antonio, TX 78256-0008
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 |
|---|---|---|---|
| 1294526 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1427672195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19702 BELLA LOMA APT 8307",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782560008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-539-9582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "FEDERICO",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2022-06-09",
"certification_date": "2022-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1294526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Sam Houston, TX
- Terence Patrick Lonergan, M.D.
- Adrianna Nicole Long, M.D.
- Raymond Jason Longinos, SRNA, RN
- Argelio Luis Lopez-Roca Fernandez, M.D.
- Edward Michael Lopez Jr., M.D.
- Maria Esmeralda Lopez, LCSW
- Stacy Jean Losey, CNM, WHNP
- Matthew S. Louis, PHYSICIAN ASSISTANT
- Doreen M. Lounsbery, MD
- Michael Doyle Love, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.