Tina Jane Copeland, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011528L Issued in PA

Practice address

911 Hetrick Ave
Palmyra, PA 17078-3030

Phone

(717) 832-1015

NPI assigned

Feb 21, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Playtime Therapy, LLC

  • Early Intervention Provider Agency
  • Palmyra, PA
  • NPI 1174909725
  Authorized official Same address or phone
• Now I Can Foundation Northeast

  • Physical Therapy Clinic/Center
  • Lititz, PA
  • NPI 1841945045
  NPD

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1306981667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 HETRICK AVE",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783030",
            "telephone_number": "717-832-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 HETRICK AVE",
            "city": "PALMYRA",
            "state": "PA",
            "postal_code": "170783030",
            "telephone_number": "717-832-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "TINA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT011528L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019169170002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carrie Champ Morera, PSY.D.
• CK KC Inc (Palmyra Pharmacy & Gift Shop)
• CK KC Inc (Palmyra Pharmacy & Gift Shop)
• CK-KC LTC, Inc (Hershey Long Term Care Pharmacy)
• Columbia Cottage - Hershey, LLC
• Corl Eyecare, LLC (Corl Family Eyecare, LLC)
• Timothy Ryan Corl, O.D.
• Crosstown Dental Group
• Jill Beth D'Amico, D.O.
• Melissa Dailey

• Physical Therapist in Palmyra, PA
• Providers in Palmyra, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.