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

Graceanne Lopez

Individual provider Physical Therapist · NPI 1184389413

Graceanne Lopez is a Physical Therapist in Private Practice in East Northport, New York. Qualified in 2021, 5 years ago. Practices with Island Physical Therapy of East Setauket, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3072 Jericho Tpke
East Northport, NY 11731
Phone: (631) 462-9595
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1184389413
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 2, 2021
Last updated in NPPESNovember 2, 2021
Certification dateNovember 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Island Physical Therapy Of East Setauket — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in East Northport