Individual provider Active NPI

Adrianne Copelan, PTA

  • Physical Therapy Assistant
  • Greensboro, GA
National Provider Identifier
1487081287
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA002299 Issued in GA
Practice address
1201 Siloam Rd
Greensboro, GA 30642-2811
Phone
(706) 453-5088
NPI assigned
Oct 11, 2013
Last updated
Oct 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA002299 GA Primary

Addresses

Primary practice location

1201 Siloam Rd
Greensboro, GA 30642-2811

Mailing address

3222 Lake Oconee Pkwy
Greensboro, GA 30642-3338
Phone (706) 453-5088

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

State licenses

LicenseStateTypeSpecialty
PTA002299GAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1487081287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 LAKE OCONEE PKWY",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306423338",
            "telephone_number": "706-453-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SILOAM RD",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306422811",
            "telephone_number": "706-453-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAN",
        "first_name": "ADRIANNE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA002299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.