Eric Kopp, PT,OMT,OCS,FAAOMPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007117 Issued in CT

Practice address

3 Farm Glen Blvd
Farmington, CT 06032-1981

Phone

(860) 284-9780

Fax

(860) 409-9177

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Competitive Edge Physical Therapy & Sports Training, LLC

  • Physical Therapy Clinic/Center
  • Norwell, MA
  • NPI 1366502023

  Physical Therapist

  NPD (past)
• Stratham Physical Therapy

  • Physical Therapist
  • Stratham, NH
  • NPI 1114950318
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1255426631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 COMMERCE WAY",
            "address_2": "STE 120",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038018200",
            "telephone_number": "603-427-8066",
            "fax_number": "603-501-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 FARM GLEN BLVD",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060321981",
            "telephone_number": "860-284-9780",
            "fax_number": "860-409-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "ERIC",
        "credential": "PT,OMT,OCS,FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004226206",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenn Konopaske, M.D.
• Sungeun Koo, D.M.D.
• Courtney Kopache, DPT
• Krzysztof Kopec, MD
• Michael Seth Kopf, M.D.
• Tomer Korabelnikov, MD
• Igor O. Korolev
• Ekaterina Korytnikova, MD
• Jatupol Kositsawat, M.D.
• Lynn Kosowicz, MD

• Physical Therapist in Farmington, CT
• Providers in Farmington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.