Active NPI
Jay Michael Copeland, PT, DPT
- Physical Therapist
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-5896
- Practice address
- 75-5597 Palani Rd
Kailua Kona, HI 96740-1661 - Phone
- (808) 818-2116
- NPI assigned
- Aug 11, 2022
- Last updated
- Nov 14, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, HI
Enrollment records 2
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 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 71.81
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Alabama, LLC | Physical Therapist | Current | Accepting new patients |
| Therapydia, Inc. | Physical Therapist | Current | Accepting new patients |
| Sozo Performance Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Therapydia, Inc. | Physical Therapist | Current | 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.
-
- Physical Therapist
- Kailua Kona, HI
- NPI 1861213191
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.