Active NPI
Indra Luz Lopez-Estevez
- Occupational Therapy Assistant
- Hoschton, GA
National Provider Identifier
1902361991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA001819
- Practice address
- 5373 Thompsons Mill Rd
Hoschton, GA 30548-4037 - Phone
- (770) 967-6555
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA001819 | GA | Primary |
Addresses
Primary practice location
5373 Thompsons Mill Rd
Hoschton, GA 30548-4037
Mailing address
3871 Zoey Lee Dr
Snellville, GA 30039-5257
Phone (845) 269-0787
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 |
|---|---|---|---|
| OTA001819 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1902361991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3871 ZOEY LEE DR",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300395257",
"telephone_number": "845-269-0787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5373 THOMPSONS MILL RD",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305484037",
"telephone_number": "770-967-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ-ESTEVEZ",
"first_name": "INDRA",
"middle_name": "LUZ",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA001819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoschton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.