Individual provider Active NPI

Jay Michael Copeland, PT, DPT

  • Physical Therapist
  • Kailua Kona, HI
National Provider Identifier
1194453720
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-5896 Issued in HI
Practice address
75-5597 Palani Rd
Kailua Kona, HI 96740-1661
Phone
(808) 818-2116
NPI assigned
Aug 11, 2022
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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 PT-5896 HI Primary

Addresses

Primary practice location

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

Mailing address

75-5660 Kopiko St Ste C7-524
Kailua Kona, HI 96740-3611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230104000218 AL Practitioner - Physical Therapist in Private Practice 7214307461 Reassigns benefits to 1 organization
I20240607001680 HI Practitioner - Physical Therapist in Private Practice 7214307461 Reassigns benefits to 1 organization
Practice locations: Kailua Kona, HI

Care Compare profile

Medicare Care Compare
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)

77 -5597 Palani Rd
Kailua Kona, HI 96740-1661
Phone (808) 818-2116

Merit-based Incentive Payment System (MIPS)

Final score
86.04 of 100Reported as group
Quality
90
Improvement activities
40
Cost
71.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Jan 3, 2024 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients
Sozo Performance Therapy LLC Physical Therapist CurrentSince Nov 17, 2024 Accepting new patients
Therapydia, Inc. Physical Therapist CurrentSince Apr 15, 2024 Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

301 Huntley Pkwy
Pelham, AL 35124
Phone (205) 564-9117

18 E Blithedale Ave
Ste 21
Mill Valley, CA 94941

75-5597 Palani Rd
Kailua Kona, HI 96740
Phone (256) 622-9970

78-6831 Alii Dr
Ste 420
Kailua Kona, HI 96740
Phone (808) 498-4144

790 Remington Blvd
Bolingbrook, IL 60440

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, 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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.