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

Mr. Basilio Espino Lopez, PT

Individual provider Physical Therapist · NPI 1659515823

Mr. Basilio Espino Lopez, PT is a Physical Therapist in Private Practice in East Rockaway, New York. Qualified in 1999, 27 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2009
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

21 Ryder Pl Ste 1000
East Rockaway, NY 11518-1200
Phone: (516) 665-2023
Fax: (888) 773-1644
Show map & directions

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

Additional practice locations (1)

  • 3530 64th St, Woodside, NY 11377-2354 — (347) 642-9066

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 027734-1 (NY)

Record details

NPI number1659515823
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedApril 30, 2009
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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