Individual provider Active NPI

Troy Andrew Coppus, MS, ATC, CSCS

  • Athletic Trainer
  • Evansville, IN
National Provider Identifier
1306881966
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
36001437A Issued in IN
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

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
36001437AINMDAthletic 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.

Verify at the official NPI Registry.