Individual provider Active NPI

Yevgeny Kopyt, PT

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1184716797
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9363 Issued in WA
Practice address
7900 E Green Lake Dr N
Seattle, WA 98103-4800
Phone
(206) 985-2236
Fax
(206) 985-2248
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 PT9363 WA Primary

Addresses

Primary practice location

7900 E Green Lake Dr N
Seattle, WA 98103-4800

Mailing address

7900 E Green Lake Dr N
Seattle, WA 98103-4800
Phone (206) 985-2236

Other identifiers 2

IdentifierTypeStateIssuer
8390031MedicaidWA
190423OtherWALABOR & INDUSTRIES

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
PT9363WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Rehabilitation Inc Physical Therapist Past Accepting new patients

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184716797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034800",
            "telephone_number": "206-985-2236",
            "fax_number": "206-985-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 E GREEN LAKE DR N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981034800",
            "telephone_number": "206-985-2236",
            "fax_number": "206-985-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPYT",
        "first_name": "YEVGENY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT9363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8390031",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "190423",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

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