Active NPI
Aaron Anthony Lopez, OTR
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- El Paso, TX
National Provider Identifier
1790205045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- License
- 118455
- Practice address
- 6028 Surety Dr
El Paso, TX 79905-2018 - Phone
- (915) 781-2901
- NPI assigned
- Jun 27, 2017
- Last updated
- Jun 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | 118455 | TX | Primary |
Addresses
Primary practice location
6028 Surety Dr
El Paso, TX 79905-2018
Mailing address
11721 Scott Simpson Dr
El Paso, TX 79936-6230
Phone (915) 422-0494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25587716 | Other | TX | DRIVERS LICENSE NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118455 | TX | MD | Comprehensive Outpatient Rehabilitation Facility (CORF) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1790205045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11721 SCOTT SIMPSON DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799366230",
"telephone_number": "915-422-0494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6028 SURETY DR",
"city": "EL PASO",
"state": "TX",
"postal_code": "799052018",
"telephone_number": "915-781-2901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "AARON",
"middle_name": "ANTHONY",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-27",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": "TX",
"license": "118455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE NUMBER",
"identifier": "25587716",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.