AMANDA MERCEDES LOPEZ
NPI 1104367598
Occupational Therapy Assistant in Hialeah, FL

Active since March 17, 2017Accepts Medicare Assignment
1555 W 44TH PL APT 259, HIALEAH, FL 33012(786) 546-3668 Get Directions Write a Review

NPPES record last updated: March 17, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Mercedes Lopez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA MERCEDES LOPEZ (NPI 1104367598) is an individual occupational therapy assistant in Hialeah, Florida, licensed in Florida (OTA15761) and active in the NPI registry since March 2017. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1104367598
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameAMANDA MERCEDES LOPEZ
Location Address1555 W 44TH PL APT 259Hialeah, FL 33012-7840
Mailing Address1555 W 44th Pl Apt 259Hialeah, FL 33012-7840
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 17, 2017
✔ NPI 1104367598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License✔ Licensed in FL · OTA15761
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1555 W 44TH PL APT 259, Hialeah, FL 33012

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Mercedes Lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062942840
PECOS Enrollment IDI20250208000060

Medicare Billing Reassignment

Medicare enrollment records show Amanda Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
10275 COLLINS AVE APT 1112
Bal Harbour, FL 33154
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Lopez's NPI number?

The NPI number for Amanda Lopez is 1104367598. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is Amanda Lopez located?

Amanda Lopez practices at 1555 W 44th Pl Apt 259, Hialeah, FL 33012. The listed phone number is (786) 546-3668.

What is Amanda Lopez's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

Is Amanda Lopez enrolled in Medicare?

Yes. Amanda Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amanda Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lopez reassigns Medicare benefits to Prestige Rehab Fl LLC (Bal Harbour, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Lopez was last updated on March 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.