Michael William Kopacko

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT020600 Issued in PA

Practice address

1122 7TH Ave
Suite C
Beaver Falls, PA 15010-4480

Phone

(724) 843-7930

NPI assigned

Jul 14, 2010

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: michael.kopacko@upmcdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Network, LLC

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1013220466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 LINCOLN HIGHLANDS DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151087734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 7TH AVE",
            "address_2": "SUITE C",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104480",
            "telephone_number": "724-843-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACKO",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor King
• Christine L Knab, PT
• Anthony Kofalt, LCSW
• Amy Lee Kohen, O.D.
• Jessica K Kolson
• Brandi Kopas, MA
• Jodi Kostek
• Rose Ashley Kravos, PHARMD
• Kristi K Weatherly OD LLC
• Gerilyn Marie Kullen, OTR/L

• Physical Therapist in Beaver Falls, PA
• Providers in Beaver Falls, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.