PAUL LOPES P.T.
NPI 1215144373
Physical Therapist in Sanford, FL

Active since May 17, 2007Accepts Medicare Assignment
1200 LEXINGTON GREEN LANE, SANFORD, FL 32771(407) 322-3442 Get Directions Write a Review

NPPES record last updated: January 29, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Paul Lopes P.t. NPPES

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

PAUL LOPES P.T. (NPI 1215144373) is an individual physical therapist in Sanford, Florida, licensed in Florida (PT0014926) and active in the NPI registry since May 2007. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1215144373
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NamePAUL LOPESCredential: P.T.
Location Address1200 LEXINGTON GREEN LANESanford, FL 32771
Mailing Address1200 Lexington Green LnSanford, FL 32771-1013 · (407) 688-0070
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateMay 17, 2007
Last NPPES UpdateJanuary 29, 2016
✔ NPI 1215144373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in FL · PT0014926
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1200 LEXINGTON GREEN LANE, Sanford, FL 32771

Accepted Insurance

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

Paul Lopes P.t. 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 ID4688827520
PECOS Enrollment IDI20160223001385

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Lopes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
740 W PLYMOUTH AVE
Deland, FL 32720
  • Reassigned Medicare billing, Florida enrollment
  • 17 clinicians in this Medicare group
Medical Specialty
3334 CAPITAL MEDICAL BLVD STE 400
Tallahassee, FL 32308
  • Reassigned Medicare billing, Florida enrollment
  • 474 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32771 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Physical Therapy Assistant
1200 LEXINGTON GREEN LANE
SANFORD, FL 32771
Physical Therapy Assistant
1200 LEXINGTON GREEN LANE
SANFORD, FL 32771
Physical Therapy Assistant
1200 LEXINGTON GREEN LANE
SANFORD, FL 32771

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 Paul Lopes's NPI number?

The NPI number for Paul Lopes is 1215144373. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Paul Lopes located?

Paul Lopes practices at 1200 Lexington Green Lane, Sanford, FL 32771. The listed phone number is (407) 322-3442.

What is Paul Lopes's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Paul Lopes enrolled in Medicare?

Yes. Paul Lopes 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 organizations bill Medicare for Paul Lopes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Lopes reassigns Medicare benefits to 2 organizations: Florida Orthopaedic Associates PA (Deland, FL) and Tallahassee Orthopedic Clinic III Pl (Tallahassee, FL). Each 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 Paul Lopes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Lopes accept?

Health plans from AvMed and Oscar Health Maintenance Organization of Florida list Paul Lopes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Lopes was last updated on January 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.