Individual provider Active NPI

Christopher Coppolecchia, DPT

  • Physical Therapist
  • Cos Cob, CT
National Provider Identifier
1154712479
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14.010433 Issued in CT
Practice address
35 River Rd
2ND Floor
Cos Cob, CT 06807-2759
Phone
(203) 422-0679
NPI assigned
Feb 9, 2015
Last updated
Jun 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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 14.010433 CT Primary

Addresses

Primary practice location

35 River Rd
2ND Floor
Cos Cob, CT 06807-2759

Mailing address

800 Post Rd
Ste 3a
Darien, CT 06820-4622
Phone (203) 422-0679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726000353 NY Practitioner - Physical Therapist in Private Practice 9436479821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focal Physical Therapy PLLCGroup PAC ID 1456721638, 13 clinicians

Practice addresses (Care Compare)

530 Main St
Armonk, NY 10504-1843
Phone (914) 273-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14.010433CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focal Physical Therapy PLLC Physical Therapist CurrentSince Jan 1, 2023 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Dec 24, 2025 Accepting new patients

Locations

215 Katonah Ave
Katonah, NY 10536
Phone (914) 232-4702

268 Route 202
Somers, NY 10589
Phone (914) 276-2099

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1154712479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POST RD",
            "address_2": "STE 3A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204622",
            "telephone_number": "203-422-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "address_2": "2ND FLOOR",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-422-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLECCHIA",
        "first_name": "CHRISTOPHER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-09",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.010433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.