Active NPI
Jessica Copley
- Specialist
- West Chester, OH
National Provider Identifier
1255711560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT/015361
- Practice address
- 4851 Wunnenberg Way
Suite D
West Chester, OH 45069-4855 - Phone
- (513) 874-8800
- Fax
- (513) 672-0519
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | PT/015361 | OH | Primary |
Addresses
Primary practice location
4851 Wunnenberg Way
Suite D
West Chester, OH 45069-4855
Mailing address
4851 Wunnenberg Way
Suite D
West Chester, OH 45069-4855
Phone (513) 874-8800
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT/015361 | OH | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stretch Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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 Medicine & Rehabilitation Physician
- West Chester, OH
- NPI 1295244689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1255711560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 WUNNENBERG WAY",
"address_2": "SUITE D",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450694855",
"telephone_number": "513-874-8800",
"fax_number": "513-672-0519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 WUNNENBERG WAY",
"address_2": "SUITE D",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450694855",
"telephone_number": "513-874-8800",
"fax_number": "513-672-0519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLEY",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "PT/015361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.