MEDICARE: MR. JAIME LOPEZ PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	3484	NM

General Provider Information

NPI Number	:	1336394931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAIME LOPEZ PT

Provider Business Mailing Address
First Line	:	2722 GREAT LAKES AVE
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-2078
Country	:	US
Telephone Number	:	281-494-4896
Fax Number	:

Provider Business Practice Location Address
First Line	:	3490 NORTH RIDGE RD.
Second Line	:	SUITE 290
City	:	ELLICOTT CITY
State	:	MD
Zip	:	21043
Country	:	US
Telephone Number	:	410-750-9006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/24/2008
Last Update Date	:	11/24/2008

Similar Medicare Providers

1386593911 — OTIBHOR OSEGHALE
Practice Location Address:

8889 PAPILLON DR , ELLICOTT CITY
ELLICOTT CITY, MD
21043-4001

Practice Phone: 410-908-0998
Practice Fax:

1972092740 — MS. YVONNE NONYELUM OBIKE CRNP
Practice Location Address:

3534 LOWER MILL CT
ELLICOTT CITY, MD
21043-4140

Practice Phone: 443-891-5399
Practice Fax:

1427900182 — MINDY HUA
Practice Location Address:

8181 MAIN STREET , 2ND FLOOR
ELLICOTT CITY, MD
21043

Practice Phone: 410-505-0062
Practice Fax: 410-650-5893

1073042057 — LAWRENCE RAKHMANOV LCPC
Practice Location Address:

3525 ELLICOTT MILLS DR STE G
ELLICOTT CITY, MD
21043-4638

Practice Phone: 410-988-8092
Practice Fax:

1528919537 — EVERGREEN COUNSELING AND WELLNESS
Practice Location Address:

3525 ELLICOTT MILLS DR STE G
ELLICOTT CITY, MD
21043-4638

Practice Phone: 301-778-4431
Practice Fax:

1023010394 — NIKOLAY Z. TCHOPEV M.D.
Practice Location Address:

5328 DUNTEACHIN DR
ELLICOTT CITY, MD
21043-8204

Practice Phone: 410-350-1090
Practice Fax: 855-543-4914

1447258603 — SNOWDEN RIVER SURGERY CENTER LLC
Practice Location Address:

6011 UNIVERSITY BLVD , SUITE 190
ELLICOTT CITY, MD
21043-6074

Practice Phone: 410-461-0960
Practice Fax: 410-461-0967

Directions to “ MR. JAIME LOPEZ PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.