Kelli Lopez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3119600 Issued in TX

Practice address

2501 RR 620 S Ste 140
Austin, TX 78738-5623

Phone

(512) 840-0444

NPI assigned

Jul 8, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kelli Bennett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1649622192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 TOULOUSE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486065",
            "telephone_number": "817-320-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 RR 620 S STE 140",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787385623",
            "telephone_number": "512-840-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6674 Prue Rd",
            "address_2": "apt 10204",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78240",
            "country_code": "US",
            "telephone_number": "817-320-4861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KELLI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-08",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3119600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3119600",
            "identifier": "3119600",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLI",
            "last_name": "BENNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Matthew Lopez, PHARM. D.
• Jose Alberto Lopez, M.D.
• Kaprianna Lopez
• Karina Lopez
• Kathleen Darcy Lopez
• Lidia Yesenia Lopez, MPAS, PA-C
• Linda Lopez, M.D.
• Maria A Lopez, CRNA
• Martita A Lopez, PHD
• Matthew Aurelio Lopez, PT, DPT

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.