Active NPI
Troy Andrew Coppus, MS, ATC, CSCS
- Athletic Trainer
- Evansville, IN
National Provider Identifier
1306881966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 36001437A
- Practice address
- 1800 Lincoln Ave
University of Evansville
Evansville, IN 47714-1506 - Phone
- (812) 488-2202
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001437A | IN | Primary |
Addresses
Primary practice location
1800 Lincoln Ave
University of Evansville
Evansville, IN 47714-1506
Mailing address
625 S Rotherwood Ave
Evansville, IN 47714-2001
Phone (812) 661-9401
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001437A | IN | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1306881966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 S ROTHERWOOD AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477142001",
"telephone_number": "812-661-9401",
"fax_number": "812-488-2199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 LINCOLN AVE",
"address_2": "UNIVERSITY OF EVANSVILLE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141506",
"telephone_number": "812-488-2202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPUS",
"first_name": "TROY",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "MS, ATC, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001437A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.