Individual provider Active NPI

Osvaldo Loperena, DPT

  • Physical Therapist
  • Anasco, PR
National Provider Identifier
1497706170
Registry record updated Nov 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1002 Issued in PR
Practice address
Carr. # 2 KM 142.2
Bo. Quebrada Larga
Anasco, PR 00610
Phone
(787) 826-4444
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2021

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 1002 PR Primary

Addresses

Primary practice location

Carr. # 2 KM 142.2
Bo. Quebrada Larga
Anasco, PR 00610

Mailing address

PO Box 2093
Anasco, PR 00610-3001
Phone (787) 235-3167

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000824 PR Practitioner - Physical Therapist in Private Practice 0840216875 Reassigns benefits to 1 organization
Practice locations: Anasco, PR

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 2 KM
2 Bo. Quebrada Larga
Anasco, PR 00610-0001
Phone (787) 826-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1002PRMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Salud a Tu Alcance, Inc. CurrentSince Aug 1, 1994 Accepting new patients
Centro de Adultos Y Ninos Con Impedimentos Inc PastSince Jun 21, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1497706170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2093",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "006103001",
            "telephone_number": "787-235-3167",
            "fax_number": "787-826-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. # 2 KM 142.2",
            "address_2": "BO. QUEBRADA LARGA",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPERENA",
        "first_name": "OSVALDO",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "1002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anasco, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.