DR. ERIKA NICOLE LOPEZ PT, DPT
NPI 1336693548
Physical Therapist in Miami, FL

Active since August 05, 2016Accepts Medicare Assignment
96.54/100
CMS Quality Rating
9461 SW 119TH CT, MIAMI, FL 33186(305) 401-2105 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Erika Nicole Lopez Pt, Dpt NPPES

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

DR. ERIKA NICOLE LOPEZ PT, DPT (NPI 1336693548) is an individual physical therapist in Miami, Florida, licensed in Florida (PT32396) and active in the NPI registry since August 2016. She is a graduate of Other (2016).

NPPES Registry Identity

NPI1336693548
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. ERIKA NICOLE LOPEZCredential: PT, DPT
Location Address9461 SW 119TH CTMiami, FL 33186-2007
Mailing Address9461 Sw 119th CtMiami, FL 33186-2007 · (305) 401-2105
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 5, 2016
Last NPPES UpdateJuly 2, 2023
NPPES CertifiedJuly 2, 2023
✔ NPI 1336693548 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
Licenses✔ Licensed in FL · PT32396✔ Licensed in ME · PT4698
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.
9461 SW 119TH CT, Miami, FL 33186

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

Dr. Erika Nicole Lopez Pt, Dpt 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 ID5294023214
PECOS Enrollment IDI20230622001251

Medicare Billing Reassignments

2

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

Physical Therapist
2100 SW 22ND ST STE 404
Miami, FL 33145
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
Physical Therapist
135 HANBURY RD W, SUITE B
Chesapeake, VA 23322
  • Reassigned Medicare billing, Virginia enrollment
  • 381 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 33186 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.93
Improvement Activities40

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 Erika Lopez's NPI number?

The NPI number for Erika Lopez is 1336693548. It was assigned to this individual provider in the NPPES registry on August 5, 2016.

Where is Erika Lopez located?

Erika Lopez practices at 9461 SW 119th Ct, Miami, FL 33186. The listed phone number is (305) 401-2105.

What is Erika Lopez's specialty?

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

Is Erika Lopez enrolled in Medicare?

Yes. Erika 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 organizations bill Medicare for Erika Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Lopez reassigns Medicare benefits to 2 organizations: Lavender Physical Therapy & Wellness, LLC (Miami, FL) and Tidewater Physical Therapy, Inc. (Chesapeake, VA). 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 Erika 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 Erika Lopez was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.