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

Individual provider Physical Therapist · NPI 1043104789

Sebastian Alfredo Lopez is a Physical Therapist in Private Practice in Ennis, Texas. Qualified in 2025, 1 year ago. Practices with Rural Rehab Providers, LLC, a 20-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

402 N I 45
Ennis, TX 75119-3402
Phone: (469) 517-5500
Fax: (903) 389-7631
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1406869 (TX)

Record details

NPI number1043104789
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 6, 2025
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Rural Rehab Providers, Llc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ennis