Healthcare Provider Details

I. General information

NPI: 1366033367
Provider Name (Legal Business Name): SARAH KIM LOPEZ PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SARAH TUTTLE

II. Dates (important events)

Enumeration Date: 02/01/2021
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7848 GREAT OAK DR
LAKE WORTH FL
33467-7110
US

IV. Provider business mailing address

6828 SUGARLOAF KEY ST
LAKE WORTH FL
33467-7649
US

V. Phone/Fax

Practice location:
  • Phone: 509-480-8226
  • Fax:
Mailing address:
  • Phone: 561-685-3749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number36150
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2251N0400X
TaxonomyNeurology Physical Therapist
License Number36150
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number36150
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: