Individual provider Active NPI

Sarah Marie Altman-Kopko, MA, MM, MA CCC-SLP

  • Speech-Language Pathologist
  • Elizabethtown, PA
National Provider Identifier
1477042422
Registry record updated May 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLO11687 Issued in PA
Practice address
928 Hedgewyck LN
Elizabethtown, PA 17022
Phone
(740) 350-8444
NPI assigned
May 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLO11687 PA Primary

Addresses

Primary practice location

928 Hedgewyck LN
Elizabethtown, PA 17022

Mailing address

928 Hedgewyck LN
Elizabethtown, PA 17022-1380
Phone (740) 350-8444

Other names 1

  • Sarah Marie Altman Former name

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLO11687PAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1525478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526256000000",
    "number": "1477042422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 HEDGEWYCK LN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170221380",
            "telephone_number": "740-350-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 HEDGEWYCK LN",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "17022",
            "telephone_number": "740-350-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTMAN-KOPKO",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "MA, MM, MA CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-05",
        "last_updated": "2018-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SLO11687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "ALTMAN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabethtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2018; 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.