Active NPI
Martha Yannet Lopez, RPT
- Physical Therapist
- West Palm Beach, FL
National Provider Identifier
1710696273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12751
- Practice address
- 2501 N Australian Ave
West Palm Beach, FL 33407-5638 - Phone
- (561) 655-7780
- NPI assigned
- Nov 23, 2022
- Sex
- Female
- 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 Therapist | 225100000X | 12751 | FL | Primary |
Addresses
Primary practice location
2501 N Australian Ave
West Palm Beach, FL 33407-5638
Mailing address
4779 Sable Pine Cir Apt D2
West Palm Beach, FL 33417-2701
Phone (561) 797-8407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12751 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1710696273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4779 SABLE PINE CIR APT D2",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334172701",
"telephone_number": "561-797-8407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N AUSTRALIAN AVE",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334075638",
"telephone_number": "561-655-7780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "MARTHA",
"middle_name": "YANNET",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-23",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "12751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.