Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1154535904 Deactivated / Inactive NPI Male Practitioner

Eberto Lopez , MT

Massage Therapist • Altamonte Springs, FL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eberto Lopez has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2007
NPI Deactivation Date March 06, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Eberto Lopez, MT was a registered Massage Therapist practicing in Altamonte Springs, FL. Throughout an active medical career spanning 17 years, Eberto Lopez provided care at the practice location at 375 DOUGLAS AVE until profile deactivation on 2024-03-06.

Practice Location & Contact Primary Location

Practice Address

375 Douglas Ave
Suite 1004

Altamonte Springs, FL 327143315

Telephone 4077887515
Associated Practice Facility / Clinic
🏢 The Foot Comfort Shop, Inc. Facility NPI 1578646105

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Altamonte Springs, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.8 Yrs
Regional Practice Density
41 Specialists

Practicing in Altamonte Springs, FL (7145 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License FL MA35414

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
April Mitchell , MT

Massage Therapist

NPI 1790992899

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated March 06, 2024

Record deactivated on March 06, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 375 DOUGLAS AVE, SUITE 1004, ALTAMONTE SPRINGS, FL 327143315 (Tel: 4077887515)

📍
Updated Business Mailing Address July 08, 2007

Registered at 375 DOUGLAS AVE, SUITE 1004, ALTAMONTE SPRINGS, FL 327143315 (Tel: 4077887515)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EBERTO LOPEZ, MT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Massage Therapist (License #MA35414 in FL)

🟢
Initial NPI Registration & Enumeration May 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Eberto Lopez. Be the first to share your experience!

Sign in to leave a review for Eberto Lopez

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1154535904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 08, 2007
Deactivation Date: March 06, 2024

Mailing Address

375 Douglas Ave, Suite 1004

Altamonte Springs, FL 327143315

Phone: 4077887515

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.