DR. ANTONIO LOPEZ JR. DC
NPI 1164291415
Chiropractor - Rehabilitation in Appleton, WI

Q: What is Antonio Lopez's NPI number?

The NPI number for Antonio Lopez is 1164291415. It was assigned to this individual provider in the NPPES registry on December 28, 2023.

Q: What is Antonio Lopez's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Rehabilitation, with taxonomy code 111NR0400X.

Q: When was this NPI record last updated?

The NPPES record for Antonio Lopez was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since December 28, 2023Accepts Medicare Assignment

N110 BRUX RD, APPLETON, WI 54915(920) 968-0464 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2025, Feb 13, 2025 (2 updates tracked since 2025).

On this page

About Dr. Antonio Lopez Jr. Dc NPPES

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

DR. ANTONIO LOPEZ JR. DC (NPI 1164291415) is an individual rehabilitation provider in Appleton, Wisconsin, licensed in Wisconsin (6275-12) and active in the NPI registry since December 2023. He is a graduate of Northwestern College Of Chiropractic (2024).

NPPES Registry Identity

NPI1164291415

Entity TypeIndividualMale

Primary Taxonomy111NR0400X

Provider Legal NameDR. ANTONIO LOPEZ JR.Credential: DC

Location AddressN110 BRUX RDAppleton, WI 54915-9439

Mailing AddressN110 Brux RdAppleton, WI 54915-9439 · (920) 968-0464 · Fax (920) 968-0482

Phone(920) 968-0464

Sole ProprietorNo

Medical School CMSNorthwestern College Of ChiropracticGraduated 2024

Enumeration DateDecember 28, 2023

Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2025

✔ NPI 1164291415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · RehabilitationChiropractic Providers

Taxonomy Code111NR0400X

License✔ Licensed in WI · 6275-12

Definition

Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills.

N110 BRUX RD, Appleton, WI 54915

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Antonio Lopez Jr. Dc 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 ID3971033994

PECOS Enrollment IDI20250206000743

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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