Active NPI
Savannah Copley
- Physical Therapist
- Edmond, OK
National Provider Identifier
1346659943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4864
- Practice address
- 16325 N May Ave Ste A4
Edmond, OK 73013-9142 - Phone
- (405) 900-6503
- Fax
- (405) 883-3060
- NPI assigned
- Aug 7, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4864 | OK | Primary |
Addresses
Primary practice location
16325 N May Ave Ste A4
Edmond, OK 73013-9142
Mailing address
16325 N May Ave Ste A4
Edmond, OK 73013-9142
Phone (405) 900-6503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200548280A | Medicaid | OK |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1346659943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16325 N MAY AVE STE A4",
"city": "EDMOND",
"state": "OK",
"postal_code": "730139142",
"telephone_number": "405-900-6503",
"fax_number": "405-883-3060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16325 N MAY AVE STE A4",
"city": "EDMOND",
"state": "OK",
"postal_code": "730139142",
"telephone_number": "405-900-6503",
"fax_number": "405-883-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLEY",
"first_name": "SAVANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-07",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "4864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200548280A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.