Individual provider Active NPI

Ethel Coppa, SLP-CCC

  • Speech-Language Pathologist
  • Marlton, NJ
National Provider Identifier
1376790550
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
41YS00477600 Issued in NJ
Practice address
97 Woodlake Dr
Marlton, NJ 08053-3617
Phone
(856) 334-5161
Fax
(856) 574-4661
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL008082 PA
Speech-Language Pathologist 235Z00000X 41YS00477600 NJ Primary

Addresses

Primary practice location

97 Woodlake Dr
Marlton, NJ 08053-3617

Mailing address

12 Gere Terrace
Cherry Hill, NJ 08002
Phone (610) 348-8816

Other names 1

  • Miss Ethel Natow Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110215000310 PA Practitioner - Qualified Speech Language Pathologist 1850431305 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab1 LLCGroup PAC ID 3173626272, 79 clinicians
Home Care Health Specialists LLCGroup PAC ID 3375774045, 34 clinicians

Practice addresses (Care Compare)

147 W State St
Kennett Square, PA 19348-3022
Phone (484) 266-0387

501 Plush Mill Rd
Wallingford, PA 19086-6040
Phone (855) 657-8723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
41YS00477600NJMDSpeech-Language Pathologist
SL008082PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab1 LLC CurrentSince Mar 28, 2025 Accepting new patients
Rehabtree LLC. Past Accepting new patients

Locations

147 W State St
Kennett Square, PA 19348
Phone (610) 444-0741

263 Glen Riddle Rd
Media, PA 19063
Phone (610) 358-9933

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1376790550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GERE TERRACE",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08002",
            "telephone_number": "610-348-8816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 WOODLAKE DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533617",
            "telephone_number": "856-334-5161",
            "fax_number": "856-574-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPA",
        "first_name": "ETHEL",
        "name_prefix": "Mrs.",
        "credential": "SLP-CCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008082",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00477600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ETHEL",
            "last_name": "NATOW",
            "prefix": "MISS",
            "credential": "SLP-CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.