Jesus Lopez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

7664 Issued in TN

Practice address

871 Ridgeway Loop Rd Ste 100
Memphis, TN 38120-4026

Phone

(615) 850-3773

NPI assigned

Nov 5, 2020

Last updated

Nov 18, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehab, Etc., Inc.

  • Physical Therapist
  • Memphis, TN
  • NPI 1104032465
  NPD

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1972104974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 ARRINGTON WAY",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384011689",
            "telephone_number": "925-321-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 RIDGEWAY LOOP RD STE 100",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381204026",
            "telephone_number": "615-850-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESUS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "7664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Douglas Looney, PHARM D
• Robert Walker Loos, MS, LPC-MHSP
• Maria Evelyn Lopez Garcia, MD
• Sayuri Lopez Martinez
• Elizabeth Jane Lopez, PHARMD
• Kito Akin Lord, M.D.
• India Lott
• Jessi Lott
• Lotts of Love Helping Hands,LLC
• Jennifer Stewart Blakely Lou, DDS

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.