Jeremiah Guadez Lopez

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

025255 Issued in NY

Practice address

8371 116TH St
Suite B
Richmond Hill, NY 11418-3448

Phone

(718) 441-5700

NPI assigned

Nov 5, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchor Health Homecare Services IncGroup PAC ID 2163802570, 96 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anchor Health Homecare Services Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1356071237

  NY, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Accucare Medical & Rehabilitation, PC

  • Physical Medicine & Rehabilitation Physician
  • Forest Hills, NY
  • NPI 1306997531
  NPD (past)
• North Shore Medical Rehabilitation, PC

  • Physical Medicine & Rehabilitation Physician
  • Richmond Hill, NY
  • NPI 1508897273
  NPD (past)

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

{
    "created_epoch": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497834832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8811 53RD AVE",
            "address_2": "1ST FL",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734517",
            "telephone_number": "917-605-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 116TH ST",
            "address_2": "SUITE B",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "718-441-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEREMIAH",
        "middle_name": "GUADEZ",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haoming Liu
• Jelica Joy Bernardo Llanillo
• LMSW Queens Therapy PC
• Locas Pharmacy Inc
• Launa Nia Longchamp, RN
• Stephanie Lopez
• Lorena Borda OT, PLLC
• Tara Louis, LMSW
• Timothy Luk
• Ronna Garcia Lumanglas

• All providers in Richmond Hill, NY
• Physical Therapist in New York

• 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.
• 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.