NELSON LOPEZ DPT
NPI 1518416155
Physical Therapist in Raleigh, NC
About Nelson Lopez Dpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELSON LOPEZ DPT (NPI 1518416155) is an individual physical therapist in Raleigh, North Carolina, licensed in North Carolina (P18632) and active in the NPI registry since September 2016. He maintains a secondary practice location in Cameron and is a graduate of Florida International Univ, College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses
- 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.
Secondary Practice Location 1
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
Nelson Lopez 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.
Medicare Billing Reassignments
5Medicare enrollment records show Nelson Lopez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1497912232 (North Carolina)
- 1,482 clinicians in this Medicare group
Raleigh, NC 27607
- Reassigned Medicare billing, North Carolina enrollment
- 289 clinicians in this Medicare group
Cary, NC 27513
- Reassigned Medicare billing, North Carolina enrollment
- 147 clinicians in this Medicare group
Greensboro, NC 27410
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Benchmark Physical Therapy Of North Carolina, LLC
- 483 clinicians in this Medicare group
Hixson, TN 37343
- Reassigned Medicare billing, North Carolina enrollment
- 333 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nelson Lopez's NPI number?
The NPI number for Nelson Lopez is 1518416155. It was assigned to this individual provider in the NPPES registry on September 23, 2016.
Where is Nelson Lopez located?
Nelson Lopez practices at 11201 Galleria Ave Ste 105, Raleigh, NC 27614. The listed phone number is (919) 670-3350.
What is Nelson Lopez's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Nelson Lopez enrolled in Medicare?
Yes. Nelson 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 Nelson Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Lopez reassigns Medicare benefits to 5 organizations: Duke University Health System, Inc. (Raleigh, NC), Drayer Physical Therapy Of North Carolina LLC (Raleigh, NC), Breakthrough Physical Therapy Inc (Cary, NC), Benchmark Physical Therapy Of Nc, LLC (Greensboro, NC) and Agilitas Usa Inc (Hixson, TN). 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 Nelson Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nelson Lopez accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Nelson 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 Nelson Lopez was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.