Justen J Lopez, ATC, LAT, PES, GTS
Specialist/Technologist, Athletic Trainer in Greenwich, Connecticut
1356695944- Practice location
- 10 Glenville St, Greenwich, CT 06831-3680
- Phone
- 518-258-9828
- Fax
- —
- Last updated
- February 16, 2023
Justen Joseph Lopez is a Specialist/Technologist, Athletic Trainer based in Greenwich, CT. Justen Joseph Lopez practices in Greenwich, CT and has the professional credentials of ATC, LAT, PES, GTS. The NPI Number for Justen Joseph Lopez is 1356695944 and holds a License No. 002612 (NY). The current practice location address for Justen Joseph Lopez is 10 Glenville St, Greenwich, CT 06831-3680 and can be reached out via phone at 518-258-9828.
Provider Profile Details
- NPI Number
- 1356695944
- Provider Name
- Justen Joseph Lopez
- Credential
- ATC, LAT, PES, GTS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10 Glenville St, Greenwich, CT 06831-3680
- Phone Number
- 518-258-9828
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- November 3, 2012
- Last Update Date
- February 16, 2023
- Certification Date
- February 16, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Glenville St
Greenwich, CT 06831-3680 - City
- Greenwich
- State
- Connecticut
- Zip
- 06831-3680
- Phone Number
- 518-258-9828
Provider Business Mailing Address Details
- Address
- 10 Glenville St
Greenwich, CT 06831-3680 - City
- Greenwich
- State
- CT
- Zip
- 06831-3680
- Phone Number
- 518-258-9828
License Information
- License Number (1)
- 002612
- License State (1)
- NY
- Taxonomy (1)
- Specialist/Technologist, Other · 246Z00000X
- License Number (2)
- AL 3159
- License State (2)
- FL
- Taxonomy (2)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- License Number (3)
- 1602
- License State (3)
- CT
- Taxonomy (3)
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Justen J Lopez, ATC, LAT, PES, GTS?
The NPI number of Justen J Lopez, ATC, LAT, PES, GTS is 1356695944. It was assigned on November 3, 2012 and is currently active in the NPPES registry.
What is the specialty of Justen J Lopez, ATC, LAT, PES, GTS?
Justen J Lopez, ATC, LAT, PES, GTS is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NY under license number 002612.
Where does Justen J Lopez, ATC, LAT, PES, GTS practice?
The practice location is 10 Glenville St, Greenwich, CT 06831-3680. The office can be reached at 518-258-9828 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356695944 directly on the NPPES registry website.