Individual provider Active NPI

David A Lopez, MUSCLE THERAPIST

  • Massage Therapist
  • Oakhurst, NJ
National Provider Identifier
1558234690
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
18KT01528000 Issued in NJ
Practice address
500 Freehold St
Oakhurst, NJ 07755-1364
Phone
(848) 469-4661
NPI assigned
Sep 25, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTTC5722 NJ
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MT144973 TX
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X 18KT01528000 NJ Primary

Addresses

Primary practice location

500 Freehold St
Oakhurst, NJ 07755-1364

Mailing address

500 Freehold St
Oakhurst, NJ 07755-1364
Phone (848) 469-4661

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
PTTC5722NJMDPhysical Therapy Assistant
18KT01528000NJMDMassage Therapist
MT144973TXMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1558234690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 FREEHOLD ST",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551364",
            "telephone_number": "848-469-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 FREEHOLD ST",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077551364",
            "telephone_number": "848-469-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "MUSCLE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "PTTC5722",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT144973",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "NJ",
            "license": "18KT01528000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

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