Ronald Lynn Lopez, MS, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4012 Issued in OR

Practice address

1619 NW Hawthorne
Suite 109
Grants Pass, OR 97526

Phone

(541) 472-1799

Fax

(541) 472-1699

NPI assigned

Oct 20, 2006

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 OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Action Rehabilitation & Sports Medicine, P.C.

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1326237769

  OR, Physical Therapist

  Medicare reassignment NPD Authorized official
• Donato and Wood Consulting, Inc

  • Physical Therapist
  • Grants Pass, OR
  • NPI 1699817460
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669554242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHRONE",
            "address_2": "SUITE 109",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-472-1799",
            "fax_number": "541-472-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 NW HAWTHORNE",
            "address_2": "SUITE 109",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-472-1799",
            "fax_number": "541-472-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "MS, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230780",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George A Longden, LCSW
• Longevity LLC
• Linda Dale Longoria
• Leslie Looney, RD
• Jacob Samuel Lopez, RPH
• Rebecca Anne Lorang
• Lorene Hamilton DO PC
• Tressi Innana Loria, MA
• Lotus Seed Therapies
• Melody Love

• All providers in Grants Pass, OR
• Physical Therapist in Oregon

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

Verify at the official NPI Registry.