Active NPI
Damary Lopez, MSPT
- Physical Therapist
- Miami, FL
National Provider Identifier
1881863231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20577
- Practice address
- 15904 SW 92ND Ave
Miami, FL 33157-1842 - Phone
- (305) 969-7778
- Fax
- (305) 969-7252
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT20577 | FL | Primary |
Addresses
Primary practice location
15904 SW 92ND Ave
Miami, FL 33157-1842
Mailing address
11975 SW 112TH Avenue Cir
Miami, FL 33176-3954
Phone (305) 505-0399
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 888226600 | Medicaid | FL |
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 |
|---|---|---|---|
| PT20577 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Intensive Therapy | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Miami, FL
- NPI 1407025851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1881863231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11975 SW 112TH AVENUE CIR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331763954",
"telephone_number": "305-505-0399",
"fax_number": "305-969-7252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15904 SW 92ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571842",
"telephone_number": "305-969-7778",
"fax_number": "305-969-7252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "DAMARY",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888226600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.