Active NPI
Miranda Nicole Lopez, DPT
- Physical Therapist
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 301679
- Practice address
- 2854 N Santiago Blvd Ste 100
Orange, CA 92867-1700 - Phone
- (714) 771-7047
- NPI assigned
- Feb 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 301679 | CA | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
2854 N Santiago Blvd Ste 100
Orange, CA 92867-1700
Mailing address
700 W Walnut Ave Apt 60
Orange, CA 92868-2249
Phone (714) 400-5628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.86 of 100
- Quality
- 82.51
- Improvement activities
- 40
- Cost
- 52.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301679 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Therapy Solutions | Physical Therapist | Current | Accepting new patients |
| Mariners Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| John M. Somerndike Physical Therapy, PC | Physical Therapist | Current | Accepting new patients |
| California Therapy Solutions | Current | Accepting new patients |
Locations
485 E 17th St
Ste 650
Costa Mesa, CA 92627
Phone (949) 722-7374
18682 Beach Blvd
Ste 130
Huntington Beach, CA 92648
Phone (714) 963-6600
2854 N Santiago Blvd
Ste 100
Orange, CA 92867
Phone (714) 771-7047
201 Sandpointe Ave
Ste 130
Santa Ana, CA 92707
Phone (714) 557-9292
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.
-
- Physical Therapy Clinic/Center
- Fountain Valley, CA
- NPI 1548329519
Physical Therapist
-
dba Orange Coast Orthopedic and Sports Physical Therapy
- Physical Therapy Clinic/Center
- Orange, CA
- NPI 1578861076
Physical Therapist
-
- Physical Therapist
- Santa Ana, CA
- NPI 1164527305
-
- Specialist
- Huntington Beach, CA
- NPI 1265869523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1649924648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 W WALNUT AVE APT 60",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682249",
"telephone_number": "714-400-5628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 N SANTIAGO BLVD STE 100",
"city": "ORANGE",
"state": "CA",
"postal_code": "928671700",
"telephone_number": "714-771-7047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MIRANDA",
"middle_name": "NICOLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "301679",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.