Active NPI
Pamela Lopez-Roth, SLP
- Speech-Language Pathologist
- Pittsfield, MA
National Provider Identifier
1487743142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5271
- Practice address
- 279 Dalton Ave
Pittsfield, MA 01201-3540 - Phone
- (413) 442-7337
- Fax
- (413) 447-3882
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5271 | MA | Primary |
Addresses
Primary practice location
279 Dalton Ave
Pittsfield, MA 01201-3540
Mailing address
279 Dalton Ave
Pittsfield, MA 01201-3540
Phone (413) 442-7337
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000026771 | Other | MA | BMC HEALTH NET |
| SP0077 | Other | MA | BLUE CROSS |
| 5721 | Other | MA | TUFTS |
Other names 1
- Pamela Lopez
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 |
|---|---|---|---|
| 5271 | MA | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Therapy Works, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapist
- Pittsfield, MA
- NPI 1477562916
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487743142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 DALTON AVE",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013540",
"telephone_number": "413-442-7337",
"fax_number": "413-447-3882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 DALTON AVE",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012013540",
"telephone_number": "413-442-7337",
"fax_number": "413-447-3882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-ROTH",
"first_name": "PAMELA",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "5271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET",
"identifier": "000000026771",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "SP0077",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "5721",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PAMELA",
"last_name": "LOPEZ",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.