Individual provider Active NPI

Nathan Copeland, PT, DPT

  • Physical Therapist
  • Cleburne, TX
National Provider Identifier
1336896802
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1254936 Issued in TX
Practice address
2010 W Katherine P Raines Rd Ste 400
Cleburne, TX 76033-7458
Phone
(817) 556-3212
Fax
(817) 645-9845
NPI assigned
Mar 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1254936 TX Primary

Addresses

Primary practice location

2010 W Katherine P Raines Rd Ste 400
Cleburne, TX 76033-7458

Mailing address

2010 W Katherine P Raines Rd Ste 300
Cleburne, TX 76033-7447
Phone (817) 556-3212

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503000886 TX Practitioner - Physical Therapist in Private Practice 1557758968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chisholm Trail Orthopedics and Sports Medicine, LLLPGroup PAC ID 7618916883, 13 clinicians

Practice addresses (Care Compare)

2010 W Katherine P Raines Rd
Suite 300
Cleburne, TX 76033-7447
Phone 8175563212201

5540 Sycamore School Rd
Suite 312
Fort Worth, TX 76123-3059
Phone (817) 556-3212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chisholm Trail Orthopedics & Sports Medicine, LLLP CurrentSince Feb 21, 2022 Accepting new patients
Chisholm Trail Orthopedics & Sports Medicine, LLLP CurrentSince Feb 21, 2022 Accepting new patients

Locations

2010 W Katherine P Raines Rd
Ste 300
Cleburne, TX 76033
Phone (817) 556-3212

2010 W Katherine P Raines Rd
Ste 400
Cleburne, TX 76033
Phone (817) 357-8006

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1336896802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W KATHERINE P RAINES RD STE 300",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337447",
            "telephone_number": "817-556-3212",
            "fax_number": "817-645-9845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W KATHERINE P RAINES RD STE 400",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337458",
            "telephone_number": "817-556-3212",
            "fax_number": "817-645-9845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "NATHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1254936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.