KIMBERLY ALYCE LOPEZ – Physical Therapist, NPI 1093360067

KIMBERLY ALYCE LOPEZ is a healthcare provider. based in San antonio, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for KIMBERLY ALYCE LOPEZ is 1093360067

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY ALYCE LOPEZ
NPI
1093360067
Phone
(210) 590-4000
Address
12508 JONES MALTSBERGER RD STE 110
Enumeration Date
7 August 2019
Last Update Date
9 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107145810
Graduation Year
2019 (7 years ago)
PAC ID
4688903214
Group Practice PAC ID
2567422538
Professional Enrollment ID
I20190907000086
Address ID
TX782401776SA9618XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for KIMBERLY ALYCE LOPEZ

  • 12508 JONES MALTSBERGER RD STE 110

    SAN ANTONIO, TX 782474215

    Phone: (210) 590-4000

    Fax: (210) 590-4585

    Type: Mailing

  • 9618 HUEBNER RD STE 219

    SAN ANTONIO, TX 782401776

    Phone: (210) 714-5810

    Fax: (210) 714-5811

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-09-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190907000086IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities83670$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes59869$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes40461$0
97162Evaluation for physical therapy, typically 30 minutes3532$0
97161Evaluation for physical therapy, typically 20 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 78247)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567422538View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX
-TX
Physical Therapist In Private PracticeKY
-TX
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

How do I look up KIMBERLY ALYCE LOPEZ by NPI?
Use NPI 1093360067 when you need to reference KIMBERLY ALYCE LOPEZ in forms, claims, or directories.
Does this profile mean KIMBERLY ALYCE LOPEZ is currently active?
Yes — KIMBERLY ALYCE LOPEZ appears active in the national provider directory.
What does KIMBERLY ALYCE LOPEZ treat or focus on?
Patients typically see KIMBERLY ALYCE LOPEZ under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY ALYCE LOPEZ's primary listing?
We display San Antonio, Texas because that is what the record indicates for KIMBERLY ALYCE LOPEZ.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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