Organization Active NPI

Ramon Lopez Physical Therapy Inc

  • Physical Therapist
  • Redondo Beach, CA
National Provider Identifier
1487829511
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
RAMON LOPEZ PHYSICAL THERAPY INC
Practice address
1426 Aviation Blvd
Ste 204
Redondo Beach, CA 90278-4002
Phone
(310) 478-8885
NPI assigned
Apr 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ramon P Lopez Jr.NPI 1134396062
Title
Owner
Phone
(310) 478-8885

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

1426 Aviation Blvd
Ste 204
Redondo Beach, CA 90278-4002

Mailing address

1426 Aviation Blvd
Ste 204
Redondo Beach, CA 90278-4002
Phone (310) 478-8885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080617000656 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6305917402 Receives reassigned benefits from 1 practitioner
Practice locations: Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

1426 Aviation Blvd
Ste 204
Redondo Beach, CA 90278
Phone (310) 478-8885

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1487829511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD",
            "address_2": "STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784002",
            "telephone_number": "310-478-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 AVIATION BLVD",
            "address_2": "STE 204",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902784002",
            "telephone_number": "310-478-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMON LOPEZ PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-478-8885",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.