ALFREDO LOPEZ-ESTRADA
NPI 1861924888
Specialist/Technologist - Athletic Trainer in Jacksonville, FL

Q: What is Alfredo Lopez-estrada's NPI number?

The NPI number for Alfredo Lopez-estrada is 1861924888. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Q: What is Alfredo Lopez-estrada's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since March 29, 2017

9726 TOUCHTON RD, #104, JACKSONVILLE, FL 32246(904) 421-1221 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Alfredo Lopez-estrada NPPES

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

ALFREDO LOPEZ-ESTRADA (NPI 1861924888) is an individual athletic trainer provider in Jacksonville, Florida, licensed in Florida (#AL4533) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1861924888

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameALFREDO LOPEZ-ESTRADA

Location Address9726 TOUCHTON RD, #104Jacksonville, FL 32246-8304

Mailing Address4500 Baymeadows Rd, Apt #14Jacksonville, FL 32217

Phone(904) 421-1221

Sole ProprietorYes

Enumeration DateMarch 29, 2017

✔ NPI 1861924888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

License✔ Licensed in FL · #AL4533

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

9726 TOUCHTON RD, Jacksonville, FL 32246

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfredo Lopez-estrada is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Alfredo Lopez-estrada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Health Development Inc

3.0 mi

Rehabilitation

3901 UNIVERSITY BLVD S STE 103
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
42 clinicians in this Medicare group

NPI 1033154992 (904) 389-9989

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

RENECIA JONES

Massage Therapist

9726 TOUCHTON RD
JACKSONVILLE, FL 32246

Duval County (904) 910-9346

SETH MAGNANI DPT

Physical Therapist

9726 TOUCHTON RD, SUITE 108
JACKSONVILLE, FL 32246

Duval County (904) 642-0771

OUTPATIENT SERVICE PROVIDERS LLC

Clinic/Center (Ambulatory Surgical)

9726 TOUCHTON RD
JACKSONVILLE, FL 32246

Duval County (904) 349-8679

TARYN WELLBORN L.A.T.

Specialist/Technologist (Athletic Trainer)

9726 TOUCHTON RD
JACKSONVILLE, FL 32246

Duval County (904) 421-1221

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 Alfredo Lopez-estrada's NPI number?

The NPI number for Alfredo Lopez-estrada is 1861924888. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Alfredo Lopez-estrada located?

Alfredo Lopez-estrada practices at 9726 Touchton Rd #104, Jacksonville, FL 32246. The listed phone number is (904) 421-1221.

What is Alfredo Lopez-estrada's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Alfredo Lopez-estrada enrolled in Medicare?

Yes. Alfredo Lopez-estrada is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alfredo Lopez-estrada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfredo Lopez-estrada reassigns Medicare benefits to Genesis Health Development Inc (Jacksonville, FL). The 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 Alfredo Lopez-estrada'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 Alfredo Lopez-estrada was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.