Active NPI
Raquel Lopez, PT
- Orthopedic Physical Therapist
- Santa Monica, CA
National Provider Identifier
1982145843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT292273
- Practice address
- 1821 Wilshire Blvd
Suite 400
Santa Monica, CA 90403-5618 - Phone
- (310) 828-2188
- NPI assigned
- Mar 12, 2017
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT292273 | CA | Primary |
Addresses
Primary practice location
1821 Wilshire Blvd
Suite 400
Santa Monica, CA 90403-5618
Mailing address
921 N Sierra Bonita Ave
Apt 3
West Hollywood, CA 90046-6559
Phone (313) 686-0784
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT292273 | CA | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1982145843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 N SIERRA BONITA AVE",
"address_2": "APT 3",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900466559",
"telephone_number": "313-686-0784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1821 WILSHIRE BLVD",
"address_2": "SUITE 400",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035618",
"telephone_number": "310-828-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RAQUEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-12",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "PT292273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.