Individual provider Active NPI

Samantha Lopez Meshula, PT

  • Physical Therapist
  • Land O' Lakes, FL
National Provider Identifier
1780724856
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33588 Issued in FL
Practice address
8129 Lagerfeld Dr
Land O Lakes, FL 34637
Phone
(602) 332-4551
NPI assigned
Feb 7, 2007
Last updated
Jul 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6734 AZ
Physical Therapist 225100000X PT33588 FL Primary

Addresses

Primary practice location

8129 Lagerfeld Dr
Land O Lakes, FL 34637

Mailing address

8129 Lagerfeld Dr
Land O Lakes, FL 34637-3203
Phone (602) 332-4551

Other identifiers 1

IdentifierTypeStateIssuer
946668MedicaidAZ

Other names 1

  • Mrs. Samantha Lopez Former name

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
6734AZMDPhysical Therapist
PT33588FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1780724856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8129 LAGERFELD DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373203",
            "telephone_number": "602-332-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8129 LAGERFELD DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "34637",
            "telephone_number": "602-332-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESHULA",
        "first_name": "SAMANTHA",
        "middle_name": "LOPEZ",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6734",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "946668",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "LOPEZ",
            "prefix": "MRS.",
            "credential": "PT, MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Land O' Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.