Basilio Espino Lopez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027734-1 Issued in NY

Practice address

21 Ryder PL Ste 1000
East Rockaway, NY 11518-1200

Phone

(516) 665-2023

Fax

(888) 773-1644

NPI assigned

Apr 30, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bel Rehabilitation PT, PC.

  • Physical Therapy Clinic/Center
  • East Rockaway, NY
  • NPI 1184963308

  Physical Therapist

  Medicare reassignment NPD Authorized official
• Lakeview Chiropractic, P.C.

  • Chiropractor
  • Merrick, NY
  • NPI 1568855302
  NPD

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1659515823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RYDER PL STE 1000",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181200",
            "telephone_number": "516-665-2023",
            "fax_number": "888-773-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 RYDER PL STE 1000",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181200",
            "telephone_number": "516-665-2023",
            "fax_number": "888-773-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 64th St",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "113772354",
            "country_code": "US",
            "telephone_number": "347-642-9066",
            "fax_number": "888-773-1644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BASILIO",
        "middle_name": "ESPINO",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-30",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027734-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03487501",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Liang, PHARMD
• Jorge Machado Lima
• Mary Anne Liotta, M.S., CCC-SLP
• Gail Litman, LCSW
• Olawale Lokoyi
• Luar Speech Therapeutics Services
• Eliezer Reuven Lusterman, LCSW-R
• Mac Behavior Solutions
• Yogeshkumar Makvana
• Sabrina Mallor, M.A

• Physical Therapist in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.