Individual provider Active NPI

Lovell Lopez, PTA

  • Physical Therapy Assistant
  • Wellington, FL
National Provider Identifier
1528867157
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA23994 Issued in FL
Practice address
12008 S Shore Blvd Ste 201
Wellington, FL 33414-6396
Phone
(561) 492-5127
NPI assigned
Mar 7, 2025
Last updated
Mar 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA23994 FL Primary

Addresses

Primary practice location

12008 S Shore Blvd Ste 201
Wellington, FL 33414-6396

Mailing address

12008 S Shore Blvd Ste 201
Wellington, FL 33414-6396
Phone (561) 492-5127

Other practice location 1

10760 Brunello Pl Apt 202
Wellington, FL 33414-9409
Phone (954) 410-5200

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

LicenseStateTypeSpecialty
PTA23994FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1741305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1528867157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 S SHORE BLVD STE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146396",
            "telephone_number": "561-492-5127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12008 S SHORE BLVD STE 201",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146396",
            "telephone_number": "561-492-5127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10760 Brunello Pl Apt 202",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334149409",
            "country_code": "US",
            "telephone_number": "954-410-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "LOVELL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-07",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA23994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.