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

Jorge Luis Lopez

Individual provider Physical Therapist · NPI 1306580576

Jorge Luis Lopez is a Physical Therapist in Private Practice in Live Oak, Texas. Qualified in 2022, 4 years ago. Practices as a sole proprietor.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

12702 Toepperwein Rd Ste 120
Live Oak, TX 78233-3208
Phone: (210) 653-4420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1306580576
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 25, 2022
Last updated in NPPESApril 25, 2022
Certification dateApril 25, 2022
Mailing address1420 Anhalt Dr # 50b, Pflugerville, TX 78660-6110

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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