Individual provider Active NPI

Caitlin Joelle Kocsis

  • Physical Therapist
  • Derry, NH
National Provider Identifier
1568038941
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4820 Issued in NH
Practice address
6 Tsienneto Rd
Derry, NH 03038-1584
Phone
(603) 421-9959
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2021

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 4820 NH Primary

Addresses

Primary practice location

6 Tsienneto Rd
Derry, NH 03038-1584

Mailing address

6 Tsienneto Rd
Derry, NH 03038-1584
Phone (603) 421-9959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210706000332 NH Practitioner - Physical Therapist in Private Practice 2466854062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Coppola Physical Therapy and Fitness Gym LLCGroup PAC ID 0345393302, 21 clinicians

Practice addresses (Care Compare)

6 Tsienneto Rd
Suite 201
Derry, NH 03038-1584
Phone 6034219959305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4820NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coppola Physical Therapy and Fitness Gym LLC Physical Therapist CurrentSince Jun 29, 2021 Accepting new patients

Locations

143 Raymond Rd
Unit 8
Candia, NH 03034
Phone (603) 483-3355

6 Tsienneto Rd
Ste 201
Derry, NH 03038
Phone 6034219959305

89 S Mast St
Goffstown, NH 03045
Phone 6034100096305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1568038941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-421-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TSIENNETO RD",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-421-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCSIS",
        "first_name": "CAITLIN",
        "middle_name": "JOELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.