Ileana Del Carmen Lopez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT12994 Issued in FL

Practice address

1950 Wrenfield LN
Oviedo, FL 32765-5172

Phone

(407) 925-5481

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lleana Silverman,Rosario Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372896000000",
    "number": "1770630840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 WRENFIELD LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655172",
            "telephone_number": "407-925-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 WRENFIELD LN",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327655172",
            "telephone_number": "407-925-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "ILEANA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT12994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891134700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LLEANA",
            "last_name": "SILVERMAN,ROSARIO",
            "credential": "RPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Logsdon
• Michael Lomonaco, DNP
• Haley Long
• Kimmai Magali Lonsdorfer, PA
• Angel F Lopez, DMD
• Vilma Lopez
• Yanly Lopez, RBT
• Valerie Lorenzo
• Lourdes Dialysis LLC
• Katherine E Love

• Physical Therapist in Oviedo, FL
• Providers in Oviedo, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; 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.