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

Mrs. Mary Rachel Portillo Lozada, PT

Individual provider Physical Therapy Clinic/Center · NPI 1144778606

Mrs. Mary Rachel Portillo Lozada, PT is a Physical Therapist in Private Practice in Bergenfield, New Jersey. Qualified in 2001, 25 years ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
25
Licensed in
NJ
In the registry since
2016
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

108 S Washington Ave Ste B
Bergenfield, NJ 07621-2341
Phone: (315) 591-5630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 40QA01671600 (NJ)

Record details

NPI number1144778606
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedSeptember 13, 2016
Last updated in NPPESSeptember 13, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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