Individual provider Active NPI

Jemma Rose Lopez, DPT

  • Physical Therapist
  • Miami, FL
National Provider Identifier
1649806142
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35262 Issued in FL
Practice address
8932 SW 97TH Ave
Miami, FL 33176-1936
Phone
(305) 689-7139
NPI assigned
Mar 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 35262 FL Primary

Addresses

Primary practice location

8932 SW 97TH Ave
Miami, FL 33176-1936

Mailing address

18445 SW 267TH St
Homestead, FL 33031-2239
Phone (305) 300-9613

Other practice location 1

897 N Homestead Blvd
Homestead, FL 33030-5024
Phone (305) 257-8224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230908002950 FL Practitioner - Physical Therapist in Private Practice 1254795255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18445 SW 267TH St
Homestead, FL 33031-2239

633 N Krome Ave
Suite 2
Homestead, FL 33030-6043
Phone (305) 300-9613

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35262FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jem'S Physical Therapy & Wellness LLC Physical Therapist CurrentSince Feb 24, 2023 Accepting new patients

Locations

633 N Krome Ave
Ste 2
Homestead, FL 33030
Phone (305) 300-9613

633 N Krome Ave
Homestead, FL 33030
Phone (305) 230-0071

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1649806142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18445 SW 267TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330312239",
            "telephone_number": "305-300-9613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 SW 97TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761936",
            "telephone_number": "305-689-7139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "897 N Homestead Blvd",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330305024",
            "country_code": "US",
            "telephone_number": "305-257-8224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JEMMA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.