Individual provider Active NPI

Steven Coppola, MS, PT

  • Physical Therapist
  • Concord, NH
National Provider Identifier
1467484683
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2164 Issued in NH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30393244MedicaidNH
5204192OtherCIGNA
AA22614OtherHARVARD PILGRIM
7052413OtherAETNA
0805655Y0NH02OtherBLUE CROSS BLUE SHIELD
2153224OtherHCVM
5366524OtherCCN

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

LicenseStateTypeSpecialty
2164NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist Current Accepting new patients
Belknap Occupational Health LLC Physical Therapist CurrentSince Mar 10, 2013 Accepting new patients
Coppola Physical Therapy Farmington LLC Physical Therapist PastSince Oct 26, 2011 Accepting new patients
Optima Dermatology LLC PastSince May 14, 2018 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.

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.

Verify at the official NPI Registry.