Amy Nicole Coopman, PTA
Individual provider Active NPI Physical Therapy Assistant · Shelbyville, IN
NPI 1437683141 · NPPES record last updated Apr 19, 2017
Key facts
- NPI
- 1437683141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 06005436A (IN)
- Practice address
- 2216 N Riley Hwy
Shelbyville, IN 46176-9311 - Phone
- (317) 392-3370
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT10528 | CA | MD | Physical Therapy Assistant |
| 06005436A | IN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 06005436A | IN | Yes |
| Physical Therapy Assistant | 225200000X | AT10528 | CA |
Addresses
Primary practice location
2216 N Riley Hwy
Shelbyville, IN 46176-9311
Mailing address
2216 N Riley Hwy
Shelbyville, IN 46176-9311
Other names
- Amy Nicole Calvert-Coopman
Other providers in Shelbyville, IN
- Ashley Combs
- Comprehensive Pain and Spine Specialists LLC
- Comprehensive Pain and Spine Specialists LLC
- Anna Comstock
- Teethena Comeko Cooper
- Theresa Costello
- Betsy Crandall
- Molly Kathleen Cremons
- Ovidiu Gratian Cristea
- Olivia Mary Cummings Mutambuze
All providers in Shelbyville, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.