Colleen Kopidis, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

QA00493600 Issued in NJ

Practice address

430 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-7604

Phone

(201) 782-1888

NPI assigned

Oct 9, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1114115805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 LILLINE LN",
            "city": "UPPER SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074581819",
            "telephone_number": "201-818-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777604",
            "telephone_number": "201-782-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPIDIS",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "QA00493600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Barry Joseph, ED.D
• Mahmood M Karimi, M.D.
• Julie Kemps-Rowley
• Grace Jiin Kim, DACM, L.AC.
• Carrie B Kipnis
• Charles Edward Kordula, MD
• Eve Kotovich
• Anna Catherine Koverola, PHD
• William E Kurylo, DMD
• Christine Tracy Lapaglia, D.C., C.A.

• Physical Therapist in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.