Taylor Kopecky, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

65183 Issued in OR

Practice address

64745 Melinda CT
Bend, OR 97701-8828

Phone

(541) 249-3703

Fax

(971) 242-4088

NPI assigned

Feb 15, 2024

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

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.

• Destination Rehab

  • Physical Therapist
  • Bend, OR
  • NPI 1891230942
  NPD

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1083479331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S MCKERN CT UNIT 55",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971327144",
            "telephone_number": "503-833-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64745 MELINDA CT",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977018828",
            "telephone_number": "541-249-3703",
            "fax_number": "971-242-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPECKY",
        "first_name": "TAYLOR",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "65183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin J Kolcun, PA
• Richard Lynn Koller, M.D.
• Dylan Konkle, D.C.
• David Koonce, LMT
• Tonya I Koopman, NP
• Ellyn M Kornfeind, MD
• Stephen B Kornfeld, MD
• Katharina Kornhuber, CCC-SLP
• Lindsay Korstad, LPC
• Melissa Koschnitzke

• Physical Therapist in Bend, OR
• Providers in Bend, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.