Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Edgardo Rivera Lopez, PT, DPT, CSCS

Individual provider Sports Physical Therapist · NPI 1477288900

Edgardo Rivera Lopez, PT, DPT, CSCS is a Sports Physical Therapist in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2022.

Licensed in
TX
In the registry since
2022
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4301 Broadway
San Antonio, TX 78209-6318
Phone: (210) 829-6017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Physical Therapist (primary) Taxonomy 2251S0007X · Licence 1362473 (TX)

Record details

NPI number1477288900
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedJuly 19, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

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