Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fabian Lopez, PT

Individual provider Physical Therapist · NPI 1326851437

Fabian Lopez, PT is a Physical Therapist in Private Practice in Frederick, Maryland. Qualified in 2024, 2 years ago. Practices with Bold City Therapy and Wellness LLC, a 2-clinician group, works from 5 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

801 Toll House Ave Ste H3
Frederick, MD 21701-6117
Phone: (240) 575-9260
Fax: (240) 575-9380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9093 Ridgefield Dr Ste 201, Frederick, MD 21701-6712 — (410) 885-4855
  • 110 Baughmans Ln Ste 160, Frederick, MD 21702-4946 — (240) 651-1335
  • 12916 Conamar Dr Ste 103, Hagerstown, MD 21742-2760 — (301) 665-3731
  • 3501 John Simmons St # A203, Urbana, MD 21704-7964 — (301) 882-8382

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1326851437
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 31, 2025
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026
Mailing address801 Toll House Ave Ste H3, Frederick, MD 21701-6117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Bold City Therapy And Wellness Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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