Jennifer Lynn Kopach, PT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010961 Issued in GA

Practice address

3000 Johnson Ferry Rd Ste 110
Marietta, GA 30062

Phone

(917) 334-9108

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Inspired Mobility Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1922587211
  NPD Authorized official

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1306170220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4557 WENDEN LN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625696",
            "telephone_number": "917-334-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOHNSON FERRY RD STE 110",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30062",
            "telephone_number": "917-334-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACH",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "010961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Areum Koo, RBT
• Jennie Engel Kooden, OTR/L
• Kool Kidz Inc
• Lakshmana M Kooragayala, MD
• Irvin Harley Kooris, M.ED.
• Michael Edward Kopicki
• Zachary Kopp, CCC-SLP
• Joyce Frimpong Koram, M.D.
• Jack Ralph Koransky, MD
• Korean Nurse Health Counseling USA

• Physical Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.