Laurie Anne Kopp, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008947 Issued in MI

Practice address

2600 Union Lake Rd
Suite 120
Commerce Township, MI 48382-3588

Phone

(248) 366-1118

Fax

(248) 366-1011

NPI assigned

Jun 3, 2009

Last updated

Jun 3, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cora Health Services, Inc

  dba CORA Physical Therapy-Stoneybrook

  • Rehabilitation Clinic/Center
  • Winter Garden, FL
  • NPI 1104786805
  NPD (past)

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1598991630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16398 OAK HILL DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484309091",
            "telephone_number": "810-240-4527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 UNION LAKE RD",
            "address_2": "SUITE 120",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483823588",
            "telephone_number": "248-366-1118",
            "fax_number": "248-366-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "LAURIE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evileen Khoshaba
• Taylor Cassidy Killgrove, OTD, OTRL
• Kirk E Gold DPM PC
• Knouna Outreach Ministry Church
• Ralph Kontry, D.O.
• Nicole Rondini Korbecki, OTR
• Jackie Kosanka, RD
• Amy Kowalski, M.D
• Jay H Kozlowski, M.D., F.A.C.C.
• Ruth D Kozlowski, DO

• Physical Therapist in Commerce Township, MI
• Providers in Commerce Township, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.