Michael Emanuel Lopez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3182 Issued in OK

Practice address

1776 E Robinson St
Norman, OK 73071-7442

Phone

(405) 360-5600

NPI assigned

Jan 29, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1740811751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N WALKER AVE APT 1203",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021828",
            "telephone_number": "787-306-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 E ROBINSON ST",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730717442",
            "telephone_number": "405-360-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Walker Ave Apt 1203",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731021828",
            "country_code": "US",
            "telephone_number": "787-306-1776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MICHAEL",
        "middle_name": "EMANUEL",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LICENSE",
            "identifier": "3182",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor D Long, CRNA, MS
• Rachael Marie Loosen
• Alexandra Lopez
• Araceli Lopez
• Christopher George Lopez, M.MFT
• Sylvia Lopez, M.D.
• Nickolate Lorenzen
• Lori Holden
• Krystal Lorton, FNP
• Amy Catherine Lott

• Physical Therapy Assistant in Norman, OK
• Providers in Norman, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.