Brittany Lopez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA30839 Issued in FL

Practice address

12830 SW 1St LN Ste 100
Newberry, FL 32669-3260

Phone

(352) 692-2131

NPI assigned

Aug 3, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1891469946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15694 NW 65TH AVENUE RD",
            "city": "REDDICK",
            "state": "FL",
            "postal_code": "326863132",
            "telephone_number": "352-502-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 SW 1ST LN STE 100",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326693260",
            "telephone_number": "352-692-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BRITTANY",
        "name_prefix": "Ms.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA30839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lee, DOCTOR OF PHARMACY
• Tamara Elizabeth Leisey, OTR/L
• Lila'S Compassionate Hands Services
• Marc Alan Linden, M.D.
• LNJ Cares LLC
• Loretta M. Hulsey, DC, CCSP, LLC
• Donovan Jones Lott, PT, PHD, CSCS
• Roland Loynaz Jr.
• Rosa Isabel Lozada-Garcia, FNP
• Lumina North Florida Counseling LLC

• Physical Therapy Assistant in Newberry, FL
• Providers in Newberry, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.