Individual provider Active NPI

Jannette Lopez, O.T.

  • Occupational Therapist
  • Manati, PR
National Provider Identifier
1659577658
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
937 Issued in PR
Practice address
Brisas de Mar Chiquita #67 Calle Sol
Manati, PR 00674-9422
Phone
(787) 870-5255
NPI assigned
Jun 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 937 PR Primary

Addresses

Primary practice location

Brisas de Mar Chiquita #67 Calle Sol
Manati, PR 00674-9422

Mailing address

Brisas de Mar Chiquita #67 Calle Sol
Manati, PR 00674-9422
Phone (787) 870-5255

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
937PRMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Medical Clinic Corp Past Accepting new patients
Nueva Vida de la Salud Corp Past Accepting new patients
Los Angeles Medical Health Clinic Past Accepting new patients

Organizations & group practices 3

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659577658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRISAS DE MAR CHIQUITA #67 CALLE SOL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749422",
            "telephone_number": "787-870-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRISAS DE MAR CHIQUITA #67 CALLE SOL",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006749422",
            "telephone_number": "787-870-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JANNETTE",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.