Penny S Coppersmith, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00002380 Issued in WA

Practice address

5025 25TH Ave NE
Suite 201
Seattle, WA 98105-4151

Phone

(206) 524-6702

Fax

(206) 524-6703

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coppersmith Physical Therapy

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1275711566
  NPD (past) Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1528196441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N 64TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981035631",
            "telephone_number": "206-789-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 25TH AVE NE",
            "address_2": "SUITE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054151",
            "telephone_number": "206-524-6702",
            "fax_number": "206-524-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPERSMITH",
        "first_name": "PENNY",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00002380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "5345CO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "151617",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE CARE",
            "identifier": "5345CO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David B Coppel, PH.D.
• Thomas Copperman, MD
• Coppersmith Orth & Sports PT
• Coppersmith Physical Therapy
• Jeffrey C Coppersmith, P.T.
• Steven Coppess, MD
• Tiziana T Coppola
• Caitlyn Copson
• Maricor Kristianne Ribao Coquia
• Coram Alternate Site Services, Inc.

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.