Individual provider Active NPI

Joe Lopez Jr., DPT

  • Physical Therapist
  • Minneapolis, MN
National Provider Identifier
1477309722
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13405 Issued in MN
Practice address
3541 Lyndale Ave S
Minneapolis, MN 55408-4159
Phone
(612) 824-1829
Fax
(612) 823-3808
NPI assigned
Apr 27, 2024
Last updated
Aug 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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 13405 MN Primary

Addresses

Primary practice location

3541 Lyndale Ave S
Minneapolis, MN 55408-4159

Mailing address

106 Bedford St SE
Minneapolis, MN 55414-3526
Phone (720) 298-7478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250905001596 MN Practitioner - Physical Therapist in Private Practice 9638671076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 Bedford St SE
Minneapolis, MN 55414-3526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13405MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Moses S M Smith Chiropractic LLC CurrentSince Aug 11, 2025 Accepting new patients
Lucky Cat Acupuncture and Herbal Medicine PastSince Aug 17, 2025 Accepting new patients

Locations

3541 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 824-1829

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1477309722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BEDFORD ST SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554143526",
            "telephone_number": "720-298-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 LYNDALE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554084159",
            "telephone_number": "612-824-1829",
            "fax_number": "612-823-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOE",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-27",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "13405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.