NPIMap

Organization Active NPI

Coppola Physical Therapy Farmington LLC

  • Physical Therapist
  • Farmington, NH
National Provider Identifier
1508142159
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
COPPOLA PHYSICAL THERAPY FARMINGTON LLC
Practice address
395 NH Route 11
Farmington, NH 03835-3844
Phone
(603) 000-0000
Fax
(603) 000-0000
NPI assigned
Oct 27, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Authorized official

Name
Dr. Steven M Coppola, PT,DPTNPI 1467484683
Title
Owner
Phone
6036036088531

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

395 NH Route 11
Farmington, NH 03835-3844

Mailing address

395 NH Route 11
Farmington, NH 03835-3844
Phone (603) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130131000309 NH Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375797210 Receives reassigned benefits from 6 practitioners
Practice locations: Farmington, NH

National Provider Directory

National Provider Directory

Locations

395 NH Route 11
Farmington, NH 03835
Phone (603) 839-1034

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1508142159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 NH ROUTE 11",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353844",
            "telephone_number": "603-000-0000",
            "fax_number": "603-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 NH ROUTE 11",
            "city": "FARMINGTON",
            "state": "NH",
            "postal_code": "038353844",
            "telephone_number": "603-000-0000",
            "fax_number": "603-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPOLA PHYSICAL THERAPY FARMINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "COPPOLA",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "6036036088531",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT,DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.