MARCO ANTONIO LOPEZ (PT, DPT) – Orthopedic Physical Therapist, NPI 1720843162

MARCO ANTONIO LOPEZ (PT, DPT) is a healthcare provider. based in Mesquite, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 1388469 (TX). The NPI Number for MARCO ANTONIO LOPEZ (PT, DPT) is 1720843162

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MARCO ANTONIO LOPEZ (PT, DPT)
NPI
1720843162
Phone
(972) 270-2277
Address
18601 LYNDON B JOHNSON FWY STE 116
Enumeration Date
15 February 2024
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9727010366
Graduation Year
2023 (3 years ago)
PAC ID
0648617316
Group Practice PAC ID
9234447376
Professional Enrollment ID
I20240318003163
Address ID
TX752445145DA4101XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,355 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for MARCO ANTONIO LOPEZ (PT, DPT)

  • 18601 LYNDON B JOHNSON FWY STE 116

    MESQUITE, TX 751505629

    Phone: (972) 270-2277

    Type: Location

  • 1706 SURREY CIR

    GRAND PRAIRIE, TX 750506325

    Phone: (469) 951-4105

    Type: Mailing

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: 2024-03-18

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
I20240318003163IPhysical 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75150)

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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: 9234447376View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Can I verify MARCO ANTONIO LOPEZ (PT, DPT) with an NPI only?
You can start verification with NPI 1720843162 for MARCO ANTONIO LOPEZ (PT, DPT), then check state licensing separately.
Does the file indicate MARCO ANTONIO LOPEZ (PT, DPT) is practicing under active NPI?
Directory data currently reports MARCO ANTONIO LOPEZ (PT, DPT) as active.
What taxonomy line describes MARCO ANTONIO LOPEZ (PT, DPT)?
For research purposes, treat MARCO ANTONIO LOPEZ (PT, DPT) as Orthopedic Physical Therapist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MARCO ANTONIO LOPEZ (PT, DPT) on a map?
Expect Mesquite, Texas as a primary anchor for MARCO ANTONIO LOPEZ (PT, DPT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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