Jay Michael Copeland, PT, DPT

Key facts

NPI

1194453720

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

PT-5896 (HI)

Practice address

75-5597 Palani Rd
Kailua Kona, HI 96740-1661

Phone

(808) 818-2116

NPI assigned

Aug 11, 2022

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Therapydia, Inc. Physical Therapy Clinic/Center · Kailua Kona, HI · NPI 1972927119
  Medicare reassignment NPD HI · PHYSICAL THERAPIST
• Ati Holdings of Alabama, LLC Physical Therapist · Lincoln, AL · NPI 1063952646
  Medicare reassignment NPD AL · PHYSICAL THERAPIST
• Sozo Performance Therapy LLC Physical Therapist · Kailua Kona, HI · NPI 1861213191
  NPD Authorized official PHYSICAL THERAPIST
• Therapydia, Inc. Physical Therapy Clinic/Center · Washington, DC · NPI 1639583602
  NPD PHYSICAL THERAPIST

Medicare Care Compare profile

Specialty

Physical Therapist in Private Practice

Education

University of South Alabama College of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.04 of 100 (group)

Quality

90

Improvement activities

40

Cost

71.81

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in AL, HI

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 14, 2024.

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1194453720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST STE C7-524",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5597 PALANI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401661",
            "telephone_number": "808-818-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "JAY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-5896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

• Community Mental Health Center Clubhouse-Kona Paradise
• Compassionate Home Care
• Carol Conley
• Roselia Schlichtig Conrad, D.O.
• Tyler James Cooper, PT
• Naomi C Corrales, CPHT
• Lori B. Correia, L.M.T.
• Michael T Corsale
• Leonardo Acosta Cortez, M.D.
• Costco Wholesale Corporation

All providers in Kailua Kona, HI · Physical Therapist in Hawaii