Individual provider Active NPI

Matt Joseph Lopez, P.T.

  • Physical Therapist
  • New Iberia, LA
National Provider Identifier
1841546587
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
08347 Issued in LA
Practice address
1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5801
Phone
(337) 367-3331
Fax
(337) 367-6494
NPI assigned
Jul 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 08347 LA Primary

Addresses

Primary practice location

1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5801

Mailing address

1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5801
Phone (337) 367-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121017000282 LA Practitioner - Physical Therapist in Private Practice 9830349463 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iberia Sports and Rehabilitation, LLC.Group PAC ID 8628005626, 4 clinicians

Practice addresses (Care Compare)

1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5800

1307 Old Jeanerette Rd
Suite 102
New Iberia, LA 70563-5801
Phone (337) 367-3331

Merit-based Incentive Payment System (MIPS)

Final score
86.6 of 100Reported as group
Quality
86.89
Improvement activities
40
Cost
72.82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Sports and Rehabilitation, LLC. Physical Therapist CurrentSince Jul 10, 2012 Accepting new patients

Locations

1307 Old Jeanerette Rd
Ste 102
New Iberia, LA 70563
Phone (337) 367-3331

Organizations & group practices 1

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": "1343692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1841546587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "address_2": "SUITE 102",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635801",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 OLD JEANERETTE RD",
            "address_2": "SUITE 102",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705635801",
            "telephone_number": "337-367-3331",
            "fax_number": "337-367-6494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MATT",
        "middle_name": "JOSEPH",
        "name_prefix": "Prof.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "08347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.