Individual provider · Type 1 NPI

Gabriel Lopez, PTA

Physical Therapy Assistant · Lady Lake, FL

NPI number 1104723238 Active

Practice location

201 W Guava St Ste 206
Lady Lake, FL 32159-1702

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XPTA32478 (FL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104723238

Gabriel Lopez, PTA's National Provider Identifier is 1104723238, issued on Oct 22, 2026. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Lady Lake, FL. The record was last updated on Oct 22, 2026.