Individual provider Active NPI

Patricia Mariano Kopasakis, PT, DPT, SCS

  • Sports Physical Therapist
  • Avon, OH
National Provider Identifier
1215571195
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
015412 Issued in OH
Practice address
33100 Cleveland Clinic Blvd # 1-1
Avon, OH 44011-1390
Phone
(440) 695-4547
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 015412 OH Primary

Addresses

Primary practice location

33100 Cleveland Clinic Blvd # 1-1
Avon, OH 44011-1390

Mailing address

33100 Cleveland Clinic Blvd # 1-1
Avon, OH 44011-1390
Phone (440) 695-4547

Other names 1

  • Patricia Therese Mariano Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kopasap@ccf.org Cleveland Clinic Foundation

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
015412OHMDSports Physical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1215571195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD # 1-1",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33100 CLEVELAND CLINIC BLVD # 1-1",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111390",
            "telephone_number": "440-695-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPASAKIS",
        "first_name": "PATRICIA",
        "middle_name": "MARIANO",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "015412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kopasap@ccf.org",
            "affiliation": "Y",
            "endpointDescription": "include CONFIDENTIAL in subject line",
            "affiliationName": "Cleveland Clinic Foundation",
            "address_1": "33100 Cleveland Clinic Blvd # 1-1",
            "city": "Avon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "440111390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "MARIANO",
            "middle_name": "THERESE",
            "credential": "PT, DPT, SCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.