Jorge E Lopez
Massage Therapist in Brockton, MA. Individual provider (NPI-1).
NPI number1861977613
StatusActive
Last updated in NPPESSep 27, 2018
Details
- NPI
- 1861977613
- Entity type
- Individual (NPI-1)
- Name
- Jorge E Lopez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 27, 2018
- Last updated
- Sep 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 12627 | MA | Yes |
Practice location
21 Connell AveBrockton, MA 02302-2541
Phone 508-292-1171
Mailing address
21 Connell AveBrockton, MA 02302-2541
Phone 508-292-1171
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.
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All 12 Massage Therapist providers in Brockton · All 5,090 providers in Brockton
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