Active NPI
Ethel Coppa, SLP-CCC
- Speech-Language Pathologist
- Marlton, NJ
National Provider Identifier
1376790550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00477600
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00477600 | NJ | MD | Speech-Language Pathologist |
| SL008082 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab1 LLC | Current | 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.
-
- Physical Therapist
- West Chester, PA
- NPI 1902976855
-
- Physical Therapist
- Paoli, PA
- NPI 1932532207
-
- Nursing Care Agency
- Marlton, NJ
- NPI 1861671067
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.