Active NPI
Adrian Lopez
- Physical Medicine & Rehabilitation Physician
- Pueblo, CO
National Provider Identifier
1669321105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PTA.0014841
- Practice address
- 1209 Paseo del Norte
Pueblo, CO 81008-2083 - Phone
- (719) 569-5691
- NPI assigned
- Jan 27, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PTA.0014841 | CO | Primary |
Addresses
Primary practice location
1209 Paseo del Norte
Pueblo, CO 81008-2083
Mailing address
1209 Paseo del Norte
Pueblo, CO 81008-2083
Phone (719) 569-5691
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA.0014841 | CO | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769472000000",
"number": "1669321105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1209 PASEO DEL NORTE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082083",
"telephone_number": "719-569-5691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 PASEO DEL NORTE",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810082083",
"telephone_number": "719-569-5691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ADRIAN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-27",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CO",
"license": "PTA.0014841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.