Individual provider Active NPI

Raymond Lopez, DPT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1629551064
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2098 Issued in SD
Practice address
614 East Blvd
Rapid City, SD 57701-2902
Phone
(605) 348-9530
Fax
(605) 737-0874
NPI assigned
Sep 12, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 2098 SD Primary

Addresses

Primary practice location

614 East Blvd
Rapid City, SD 57701-2902

Mailing address

614 East Blvd
Rapid City, SD 57701-2902
Phone (605) 348-9530

Other practice location 1

5610 Peaceful Pines Rd Ste 4
Black Hawk, SD 57718-9556
Phone (605) 716-1300

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Physical Therapy II LLC PastSince Sep 1, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1629551064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-348-9530",
            "fax_number": "605-737-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5610 Peaceful Pines Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Black Hawk",
            "state": "SD",
            "postal_code": "577189556",
            "country_code": "US",
            "telephone_number": "605-716-1300",
            "fax_number": "605-737-0874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RAYMOND",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.