Carlos James Lopez, PTA
Physical Therapy Assistant in Sunnyside, WA. Individual provider (NPI-1).
NPI number1629763594
StatusActive
Last updated in NPPESNov 13, 2024
Details
- NPI
- 1629763594
- Entity type
- Individual (NPI-1)
- Name
- Carlos James Lopez
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2023
- Certification date
- Nov 13, 2024
- Last updated
- Nov 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | P160546979 | WA | Yes |
Practice location
1405 E Edison AveSunnyside, WA 98944-1622
Phone 509-837-7400
Mailing address
Po Box 540640North Salt Lake, UT 84054-0640
Phone 801-987-8600
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physical Therapy Assistant providers in Sunnyside, WA
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.