Active NPI
Inna Kouperman, MPT
- Specialist
- Brooklyn, NY
National Provider Identifier
1205990975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 025875-1
- Practice address
- 2200 Ocean Ave Apt 2D
Brooklyn, NY 11229-2236 - Phone
- (347) 251-2084
- NPI assigned
- Dec 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 025875-1 | NY | Primary |
Addresses
Primary practice location
2200 Ocean Ave Apt 2D
Brooklyn, NY 11229-2236
Mailing address
2200 Ocean Ave Apt 2D
Brooklyn, NY 11229-2236
Phone (347) 251-2084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Ocean Ave
Apt 2D
Brooklyn, NY 11229-2236
Phone (347) 251-2084
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.11 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 70.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 025875-1 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excel PT Services PC | Current | Accepting new patients | |
| Spear Physical and Occupational Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
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
- Brooklyn, NY
- NPI 1447541628
-
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1063454577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1205990975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 OCEAN AVE APT 2D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292236",
"telephone_number": "347-251-2084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 OCEAN AVE APT 2D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112292236",
"telephone_number": "347-251-2084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUPERMAN",
"first_name": "INNA",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-20",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "025875-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.