Active NPI
Alexa Anais Lopez, ATC
- Athletic Trainer
- Westmont, IL
National Provider Identifier
1982168878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 096-005420
- Practice address
- 1010 Executive Dr Ste 250
Westmont, IL 60559-6137 - Phone
- (630) 929-2249
- NPI assigned
- Jan 25, 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 096-005420 | IL | Primary |
Addresses
Primary practice location
1010 Executive Dr Ste 250
Westmont, IL 60559-6137
Mailing address
1010 Executive Dr Ste 250
Westmont, IL 60559-6137
Phone (630) 929-2249
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 |
|---|---|---|---|
| 096-005420 | IL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1982168878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 EXECUTIVE DR STE 250",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596137",
"telephone_number": "630-929-2249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 EXECUTIVE DR STE 250",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596137",
"telephone_number": "630-929-2249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "ALEXA",
"middle_name": "ANAIS",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-25",
"last_updated": "2023-11-08",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IL",
"license": "096-005420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
- Little Feet, Big Steps Pediatric Therapy, Inc.
- Chavonne Marie Delya Little Kaminskas
- Malena Livera Carranza
- Charles Lobdell, DPT
- Jessica Loftus, LPC - INTERN
- Kaitlan Ariel Lopez
- Lotus Geriatric Nurse Practitioner Consultants LLC
- Larry Brandonn Love, MS, ATC, CSCS
- James Daniel Lucia, OT
- Sharon Mary Luckhardt, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.