Individual provider Active NPI

Anthony Copley, PT, DPT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1124549415
Registry record updated Jun 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32661 Issued in FL
Practice address
13010 Metro Pkwy
Fort Myers, FL 33966-4701
Phone
(239) 561-5616
NPI assigned
Jun 28, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 32661 FL Primary

Addresses

Primary practice location

13010 Metro Pkwy
Fort Myers, FL 33966-4701

Mailing address

5576 Six Mile Commercial CT Apt 111
Fort Myers, FL 33912-4496
Phone (419) 307-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32661FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fyzbiz, LLC Physical Therapist CurrentSince Jul 1, 2017 Accepting new patients

Locations

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

13010 Metro Pkwy
Fort Myers, FL 33966
Phone (239) 561-1177

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

18900 N Tamiami Trl
Ste A5
North Ft Myers, FL 33903
Phone (239) 451-4922

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1498608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498608000000",
    "number": "1124549415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5576 SIX MILE COMMERCIAL CT APT 111",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124496",
            "telephone_number": "419-307-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13010 METRO PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339664701",
            "telephone_number": "239-561-5616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLEY",
        "first_name": "ANTHONY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-28",
        "last_updated": "2017-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "32661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2017; 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.