Kemoni Elexis Copeland

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

54355 Issued in CA

Practice address

8790 Cuyamaca St Ste a
Santee, CA 92071-4295

Phone

(619) 596-5969

NPI assigned

Nov 10, 2025

Last updated

Nov 10, 2025By the provider in NPPES

Sex

Female

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

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

• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD (past)
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603
  NPD (past)

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

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1043180698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8790 CUYAMACA ST STE A",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714295",
            "telephone_number": "619-596-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8790 CUYAMACA ST STE A",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714295",
            "telephone_number": "619-596-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "KEMONI",
        "middle_name": "ELEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "54355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lance Havens Cohen, D.C.
• Stacey L. Coleman, D.O.
• Andrew Brady Colley, RN
• Cassandra R Colvin, RADT-1
• William Gerard Conroy
• David Algie Corbin, MD
• Erin Dwyer Cormier, OTR/L, CHT
• Phillip Corona, RD
• Jenifer Coronado
• Vanessa Flores Cortez, RN

• Physical Therapy Assistant in Santee, CA
• Providers in Santee, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.