P Praxis·MD
● Active Type 1 · Individual

Edgardo Rivera Lopez, PT, DPT, CSCS

Physical Therapist·San Antonio, TX· NPI 1477288900 · Enumerated 2022 · 3 years on NPI
Rivera Lopez is 1 of 7 physical therapist providers in San Antonio and 1 of 133 in Texas.
NPI age
3 years
Enumerated 2022-07-19
Primary specialty
Physical Therapist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-07-19
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 133 active physical therapist providers in Texas.

NPI age
3 years
↓ 3 yr below median (6 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
27% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-07Enumerated in NPPES
2022 2026

Where they practice

Practice location
4301 Broadway
San Antonio, TX 782096318
📞 2108296017
Mailing address
215 N Loop 1604 E
San Antonio, TX 782321276
📞 7874146576

Specialties

  • Physical Therapist Primary
    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...
    TX license #1362473 taxonomy 2251S0007X

Identifiers

TypeValueNotes
05 (TX) 1362473

Practice context

Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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