Marco Antonio Lopez, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

1388469 Issued in TX

Practice address

18601 Lyndon B Johnson Fwy Ste 116
Mesquite, TX 75150-5629

Phone

(972) 270-2277

NPI assigned

Feb 15, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Texas Southwestern Medical School at Dallas, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Town East Physical Therapy and RehabiliationGroup PAC ID 0547312175, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Town East Physical Therapy & Rehabiliation

  • Physical Therapy Clinic/Center
  • Mesquite, TX
  • NPI 1679719637
  Medicare reassignment Care Compare group NPD
• Dallas Midtown Physical Therapy and Rehabilitation LLP

  • Physical Therapy Clinic/Center
  • Dallas, TX
  • NPI 1437532181

  Orthopedic

  Medicare reassignment NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1720843162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 SURREY CIR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750506325",
            "telephone_number": "469-951-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18601 LYNDON B JOHNSON FWY STE 116",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505629",
            "telephone_number": "972-270-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "TX",
            "license": "1388469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lone Star Hma Physician Management, Inc
• Lone Star Hma, L.P. (Dallas Regional Medical Center)
• Allen Stephen Long, PHARM D
• Laura Long
• Alberto Lopez Jr.
• Val Marie Lorenzo, M.S., CCC-SLP
• Love and Care Inc.
• Love Is Outreach Program
• Love Like Ours
• Khristy L. Love

• Orthopedic Physical Therapist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Orthopedic Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.