Nathan Copeland, PT, DPT
Individual provider Active NPI Physical Therapist · Cleburne, TX
NPI 1336896802 · NPPES record last updated Mar 4, 2022
Key facts
- NPI
- 1336896802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1254936 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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, LLLP
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220503000886 | TX | Practitioner - Physical Therapist in Private Practice | 1557758968 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chisholm Trail Orthopedics & Sports Medicine, LLLP | Current |
Accepting new patients | |
| Chisholm Trail Orthopedics & Sports Medicine, LLLP | Current |
Accepting new patients |
Locations
2010 W Katherine P Raines Rd
Ste 400
Cleburne, TX 76033
Phone (817) 357-8006
2010 W Katherine P Raines Rd
Ste 300
Cleburne, TX 76033
Phone (817) 556-3212
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1254936 | TX | Yes |
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
Other providers in Cleburne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.