Active NPI
Beatriz Georgina Lopez, PT
- Pediatric Physical Therapist
- Miami Springs, FL
National Provider Identifier
1699973867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 19353
- Practice address
- 1100 Wren Ave
Miami Springs, FL 33166-3857 - Phone
- (786) 322-8350
- Fax
- (305) 882-0838
- NPI assigned
- Jul 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 19353 | FL | Primary |
Addresses
Primary practice location
1100 Wren Ave
Miami Springs, FL 33166-3857
Mailing address
1100 Wren Ave
Miami Springs, FL 33166-3857
Phone (786) 322-8350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886467500 | Medicaid | FL |
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 |
|---|---|---|---|
| 19353 | FL | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonderkids Pediatric Physical Therapy Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Miami Springs, FL
- NPI 1053720896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1699973867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WREN AVE",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331663857",
"telephone_number": "786-322-8350",
"fax_number": "305-882-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WREN AVE",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331663857",
"telephone_number": "786-322-8350",
"fax_number": "305-882-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "BEATRIZ",
"middle_name": "GEORGINA",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "FL",
"license": "19353",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886467500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.