Individual provider Active NPI

Richard Lopez, P.T.

  • Physical Therapist
  • Cornville, AZ
National Provider Identifier
1639352271
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7908 Issued in AZ
Practice address
10535 E Oak Creek Valley Dr
Cornville, AZ 86325-5806
Phone
(928) 649-5821
NPI assigned
Dec 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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 7908 AZ Primary

Addresses

Primary practice location

10535 E Oak Creek Valley Dr
Cornville, AZ 86325-5806

Mailing address

10535 E Oak Creek Valley Dr
Cornville, AZ 86325-5806
Phone (928) 649-5821

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

State licenses

LicenseStateTypeSpecialty
7908AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Star Therapy Inc. Physical Therapist Past Accepting new patients
Maryland Healthcare Clinics Physical Therapist Past Accepting new patients
Northern Arizona Physical Therapy Past Accepting new patients
Therapy to You, PLLC Physical Therapist Past Accepting new patients

Organizations & group practices 4

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1639352271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10535 E OAK CREEK VALLEY DR",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863255806",
            "telephone_number": "928-649-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10535 E OAK CREEK VALLEY DR",
            "city": "CORNVILLE",
            "state": "AZ",
            "postal_code": "863255806",
            "telephone_number": "928-649-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RICHARD",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-05",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornville, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.