Coppersmith Orth & Sports PT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT00002380 Issued in WA

Legal business name

COPPERSMITH ORTH & SPORTS PT

Practice address

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

Phone

(206) 524-6702

Fax

(206) 524-6703

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Penny S Coppersmith, PT

Title

President

Phone

(206) 524-6702

Specialties & licenses 1

Addresses

Other identifiers 6

Practitioners 2

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

• Tracy A Lloyd, P.T.

  • Physical Therapist
  • Seattle, WA
  • NPI 1962544049
  NPD (past)
• Sandie G Zieve, P.T.

  • Physical Therapist
  • Seattle, WA
  • NPI 1518009455
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1598897001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "COPPERSMITH ORTH & SPORTS PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "COPPERSMITH",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-524-6702",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "WA",
            "license": "PT00002380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA BLUE CROSS",
            "identifier": "911891680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIFORM MEDICAL",
            "identifier": "911891680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "911891680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "911891680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "911891680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CHOICE",
            "identifier": "911891680",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Copeland, M.D.
• Sarah M Copeland
• Vanessa Claire Copeland, PHARMD
• David B Coppel, PH.D.
• Thomas Copperman, MD
• Coppersmith Physical Therapy
• Jeffrey C Coppersmith, P.T.
• Penny S Coppersmith, P.T.
• Steven Coppess, MD
• Tiziana T Coppola

• Physical Therapy Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapy Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.