EDGARDO RIVERA LOPEZ PT, DPT, CSCS
NPI 1477288900
Physical Therapist - Sports in San Antonio, TX

Q: What is Edgardo Rivera Lopez's NPI number?

The NPI number for Edgardo Rivera Lopez is 1477288900. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Q: What is Edgardo Rivera Lopez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

Active since July 19, 2022

4301 BROADWAY, SAN ANTONIO, TX 78209(210) 829-6017 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Edgardo Rivera Lopez Pt, Dpt, Cscs NPPES

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

EDGARDO RIVERA LOPEZ PT, DPT, CSCS (NPI 1477288900) is an individual sports provider in San Antonio, Texas, licensed in Texas (1362473) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1477288900

Entity TypeIndividualMale

Primary Taxonomy2251S0007X

Provider Legal NameEDGARDO RIVERA LOPEZCredential: PT, DPT, CSCS

Location Address4301 BROADWAYSan Antonio, TX 78209-6318

Mailing Address215 N Loop 1604 ESan Antonio, TX 78232-1276 · (787) 414-6576

Phone(210) 829-6017

Sole ProprietorNo

Enumeration DateJuly 19, 2022

NPPES CertifiedJuly 19, 2022

✔ NPI 1477288900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · SportsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251S0007X

License✔ Licensed in TX · 1362473

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement.

4301 BROADWAY, San Antonio, TX 78209

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Other Identifiers 1

Medicaid1362473TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 12

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

MS. MICQAUELLA RENEA LOPEZ MS, LAT, ATC

Specialist/Technologist (Athletic Trainer)

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (956) 651-2555

PAOLA BENASSINI

Nutritionist

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 501-7116

AISHA NAZARETH CAMET HERNANDEZ

Student in an Organized Health Care Education/Training Program

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 829-6000

MR. TRI ANH TO

Student in an Organized Health Care Education/Training Program

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 829-6000

JACQUELINE J HUA DPT

Physical Therapist

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 283-6446

RENEE ANNE BELLANGER PHARM.D.

Pharmacist (Nutrition Support)

4301 BROADWAY, CPO 99
SAN ANTONIO, TX 78209

Bexar County (210) 883-1088

CHAOREN KOH MD

Student in an Organized Health Care Education/Training Program

4301 BROADWAY
SAN ANTONIO, TX 78209

Bexar County (210) 283-6998

DR. STACY PEREZ WATERMAN LPC, LCDC

Counselor (Mental Health)

4301 BROADWAY, AD 438
SAN ANTONIO, TX 78209

Bexar County (210) 827-3738

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 Edgardo Rivera Lopez's NPI number?

The NPI number for Edgardo Rivera Lopez is 1477288900. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Edgardo Rivera Lopez located?

Edgardo Rivera Lopez practices at 4301 Broadway, San Antonio, TX 78209. The listed phone number is (210) 829-6017.

What is Edgardo Rivera Lopez's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.

What insurance does Edgardo Rivera Lopez accept?

Health plans from Blue Cross and Blue Shield of Texas list Edgardo Rivera Lopez 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 Edgardo Rivera Lopez was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.