Robert C Lopez, PTA

Individual provider Active NPI Physical Therapy Assistant · Raymond, NH

NPI 1902050487 · NPPES record last updated Nov 10, 2008

Key facts

NPI
1902050487
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
0594 (NH)
Practice address
64 Freetown Rd
Suite 1
Raymond, NH 03077-2356
Phone
(603) 895-6860
Fax
(603) 895-6861
NPI assigned
Nov 10, 2008
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0594NHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy Associates, LLC Past
since Feb 26, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 0594 NH Yes

Addresses

Primary practice location

64 Freetown Rd
Suite 1
Raymond, NH 03077-2356

Mailing address

64 Freetown Rd
Suite 1
Raymond, NH 03077-2356
Phone (603) 895-6860

Other providers in Raymond, NH

All providers in Raymond, NH · Physical Therapy Assistant in New Hampshire

Sources for this page

Verify at the official NPI Registry.