Micaela Brooke Lopez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2151672 Issued in TX

Practice address

5507 SW 9TH Ave # 4130
Amarillo, TX 79106-4130

Phone

(806) 468-7611

NPI assigned

Nov 4, 2019

Last updated

Nov 4, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1447894365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 DIAMOND CT",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791241139",
            "telephone_number": "806-570-4845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5507 SW 9TH AVE # 4130",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791064130",
            "telephone_number": "806-468-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MICAELA",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2151672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Eugene Longcor, D.C.
• Lisa K Longhofer, MD
• Jay Allen Longino, CRNFA
• Elena Loomis, NP
• Jennifer Lopez
• Nicole Lopez, MD
• Julio Cesar Lores Cruz, DDS
• Cristin Lott, PA-C
• Tricia Loucks, PTA
• Kate Elizabeth Lovato

• Physical Therapy Assistant in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.