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

Jacob Lopez, PTA

Individual provider Physical Therapy Assistant · NPI 1619628294

Jacob Lopez, PTA is a Physical Therapy Assistant in Westlake Village, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

31360 Via Colinas Ste 104
Westlake Village, CA 91362-6821
Phone: (805) 492-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 50785 (CA)

Record details

NPI number1619628294
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 14, 2022

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