Active NPI
Aisa G Lopez, M.D.
- Rehabilitation Practitioner
- Philadelphia, PA
National Provider Identifier
1942240700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- MD-038064L
- Practice address
- 5800 Ridge Ave
Roxborough Memorial Hospital Rehabilitation Department
Philadelphia, PA 19128-1737 - Phone
- (215) 487-4718
- NPI assigned
- Jun 8, 2006
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | MD-038064L | PA | Primary |
Addresses
Primary practice location
5800 Ridge Ave
Roxborough Memorial Hospital Rehabilitation Department
Philadelphia, PA 19128-1737
Mailing address
8046 Crittenden St
Philadelphia, PA 19118-2909
Phone (215) 248-0209
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070131000031 | PA | Practitioner - Physical Medicine and Rehabilitation | 6901807155 | Practice locations: Philadelphia, PA; Wyndmoor, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1954
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5800 Ridge Ave
Philadelphia, PA 19128-1737
Phone (215) 248-0209
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-038064L | PA | MD | Rehabilitation Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Healing Solutions Pennsylvania and Delaware LLC | 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.
-
- Nurse Practitioner
- Barrington, NJ
- NPI 1306272075
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1083986129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788048000000",
"number": "1942240700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8046 CRITTENDEN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191182909",
"telephone_number": "215-248-0209",
"fax_number": "215-247-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 RIDGE AVE",
"address_2": "ROXBOROUGH MEMORIAL HOSPITAL REHABILITATION DEPARTMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191281737",
"telephone_number": "215-487-4718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "AISA",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2026-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "PA",
"license": "MD-038064L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.