Vanessa Michelle Regalado Lopez, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT031223 Issued in PA

Practice address

701 W Broad St Ste 100
Bethlehem, PA 18018-5229

Phone

(610) 866-5600

NPI assigned

May 16, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Dingmans Ferry, PA
  • NPI 1164944245
  Medicare reassignment
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Franklin, PA
  • NPI 1306397799
  NPD
• Keystone Rehabilitation Systems, Inc.

  • Physical Therapy Clinic/Center
  • Butler, PA
  • NPI 1336878941
  NPD

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1952092553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185229",
            "telephone_number": "610-866-5600",
            "fax_number": "610-866-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BROAD ST STE 100",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185229",
            "telephone_number": "610-866-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO LOPEZ",
        "first_name": "VANESSA",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Amir Reed
• Kimberli Dejanea Reed, DO
• Christine Mary Reese, RN, IBCLC
• Debra Reese
• Melissa J Reese, LSW
• Regen Doctors, Inc
• Jeremy Lee Regina, P.T.
• Joanne M Regina, PH.D.
• Susan Deutscher Rego, PHD
• Rehab Care

• Physical Therapist in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.