Active NPI
Steven Coppola, MS, PT
- Physical Therapist
- Concord, NH
National Provider Identifier
1467484683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2164
- Practice address
- 171 Pleasant Street
Ste 101
Concord, NH 03301 - Phone
- (603) 228-7500
- Fax
- (603) 228-3503
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- 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 | 2164 | NH | Primary |
Addresses
Primary practice location
171 Pleasant Street
Ste 101
Concord, NH 03301
Mailing address
12 Wood Head Circle
Lee, NH 03824
Phone (603) 659-6273
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30393244 | Medicaid | NH | |
| 5204192 | Other | CIGNA | |
| AA22614 | Other | HARVARD PILGRIM | |
| 7052413 | Other | AETNA | |
| 0805655Y0NH02 | Other | BLUE CROSS BLUE SHIELD | |
| 2153224 | Other | HCVM | |
| 5366524 | Other | CCN |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2164 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coppola Physical Therapy and Fitness Gym LLC | Physical Therapist | Current | Accepting new patients |
| Belknap Occupational Health LLC | Physical Therapist | Current | Accepting new patients |
| Coppola Physical Therapy Farmington LLC | Physical Therapist | Past | Accepting new patients |
| Optima Dermatology LLC | Past | Accepting new patients |
Locations
171 Pleasant St
Ste 101
Concord, NH 03301
Phone (603) 228-7500
614 Laconia Rd
Unit 2
Tilton, NH 03276
Phone (603) 717-7010
Organizations & group practices 4
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
- Tilton, NH
- NPI 1720316441
-
- Physical Therapist
- Farmington, NH
- NPI 1508142159
-
- Physical Therapy Clinic/Center
- Candia, NH
- NPI 1346481561
Physical Therapist
-
- Dermatology Physician
- Boardman, OH
- NPI 1831187764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467484683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WOOD HEAD CIRCLE",
"city": "LEE",
"state": "NH",
"postal_code": "03824",
"telephone_number": "603-659-6273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 PLEASANT STREET",
"address_2": "STE 101",
"city": "CONCORD",
"state": "NH",
"postal_code": "03301",
"telephone_number": "603-228-7500",
"fax_number": "603-228-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPOLA",
"first_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "2164",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30393244",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "5204192",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA22614",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7052413",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0805655Y0NH02",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCVM",
"identifier": "2153224",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5366524",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.