Individual provider Active NPI

Diana Lopez

  • Physical Therapy Assistant
  • Miami Springs, FL
National Provider Identifier
1750115168
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA28238 Issued in FL
Practice address
101 Westward Dr Ste 103
Miami Springs, FL 33166-5211
Phone
(305) 290-0622
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA28238 FL Primary

Addresses

Primary practice location

101 Westward Dr Ste 103
Miami Springs, FL 33166-5211

Mailing address

6544 SW 73Rd CT
Miami, FL 33143-2919
Phone (305) 803-6682

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

LicenseStateTypeSpecialty
PTA28238FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Akl Active Inc CurrentSince Sep 1, 2024 Accepting new patients
Akl Active Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

101 Westward Dr
Ste 103
Miami Springs, FL 33166
Phone (305) 290-0622

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1750115168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6544 SW 73RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331432919",
            "telephone_number": "305-803-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WESTWARD DR STE 103",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665211",
            "telephone_number": "305-290-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA28238",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 28, 2024; 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.