Active NPI
Steven Lee Coppolecchia, PT
- Physical Therapist
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42302
- Practice address
- 3500 E Fletcher Ave Ste 100
Tampa, FL 33613-4701 - Phone
- (813) 821-8038
- Fax
- (813) 974-0483
- NPI assigned
- Aug 6, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7472 | SC | |
| Physical Therapist | 225100000X | PT42302 | FL | Primary |
Addresses
Primary practice location
3500 E Fletcher Ave Ste 100
Tampa, FL 33613-4701
Mailing address
PO Box 917770
Orlando, FL 32891-0001
Phone (813) 821-8038
Other practice location 1
333 S Pine St
Spartanburg, SC 29302-2622
Phone (864) 515-7580
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123995900 | Medicaid | FL | |
| Y911W | Other | FL | BLUE CROSS BLUE SHIELD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | scoppolecchia319417@direct.tgh.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13330 Usf Laurel Dr
Tampa, FL 33612-6601
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.72 of 100
- Quality
- 84.31
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Network, Inc. | Physical Therapist | Current | Accepting new patients |
| University Medical Service Association Inc | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Ivyrehab Network Inc. | Physical Therapist | Current | Accepting new patients |
| University Medical Service Association Inc | Physical Therapist | Current | Accepting new patients |
| University Medical Service Association Inc | Past | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
13330 Usf Laurel Dr
Fl 3
Tampa, FL 33612
Phone (813) 396-9422
12901 Bruce B Downs Blvd
#62
Tampa, FL 33612
3500 E Fletcher Ave
Ste 100
Tampa, FL 33613
Phone (813) 282-8520
3500 E Fletcher Ave
Tampa, FL 33613
Phone (813) 210-0991
187 Columbia Tpke
Florham Park, NJ 07932
Phone (973) 377-5655
454 Passaic St
Hackensack, NJ 07601
Phone (201) 488-7905
79 Hudson St
Hoboken, NJ 07030
Phone (201) 792-1170
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Networks
- Freedom Health HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- scoppolecchia319417@direct.tgh.org
Organizations & group practices 7
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.
-
- Physical Therapist
- Tampa, FL
- NPI 1992742324
-
- Physical Therapist
- Hoboken, NJ
- NPI 1174577274
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Durable Medical Equipment & Medical Supplies
- Tampa, FL
- NPI 1194276576
-
- Physical Medicine & Rehabilitation Physician
- Cranford, NJ
- NPI 1699590265
Physical Therapist
-
- Neurological Surgery Physician
- Tampa, FL
- NPI 1740227966
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1184033920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 917770",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328910001",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FLETCHER AVE STE 100",
"city": "TAMPA",
"state": "FL",
"postal_code": "336134701",
"telephone_number": "813-821-8038",
"fax_number": "813-974-0483"
}
],
"practiceLocations": [
{
"address_1": "333 S Pine St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293022622",
"country_code": "US",
"telephone_number": "864-515-7580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COPPOLECCHIA",
"first_name": "STEVEN",
"middle_name": "LEE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-06",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7472",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT42302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123995900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y911W",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "scoppolecchia319417@direct.tgh.org",
"affiliation": "N",
"address_1": "3500 E Fletcher Ave Ste 100",
"city": "Tampa",
"state": "FL",
"country_code": "US",
"postal_code": "336134701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.