Active NPI
Ruth Maribel Lopez, PTA
- Physical Therapy Assistant
- Indio, CA
National Provider Identifier
1992682967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 53490
- Practice address
- 42150 Jackson St
Indio, CA 92203-9780 - Phone
- (442) 300-3200
- NPI assigned
- Aug 20, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 53490 | CA | Primary |
Addresses
Primary practice location
42150 Jackson St
Indio, CA 92203-9780
Mailing address
84116 Olona CT
Indio, CA 92203-2967
Phone (720) 224-8249
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U9605340001 | Other | CA | CIGNA |
Other names 1
- Ruth Lopez
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 |
|---|---|---|---|
| 53490 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1992682967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84116 OLONA CT",
"city": "INDIO",
"state": "CA",
"postal_code": "922032967",
"telephone_number": "720-224-8249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42150 JACKSON ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922039780",
"telephone_number": "442-300-3200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "RUTH",
"middle_name": "MARIBEL",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "53490",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U9605340001",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RUTH",
"last_name": "LOPEZ",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.