Tamara Layne Copes, PT, DPT, MS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT25861 Issued in FL

Practice address

4565 8TH Special Forces Way
Eglin Afb, FL 32542-1701

Phone

(850) 885-7981

NPI assigned

Dec 8, 2010

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Premier Rehab Management, LLC

  • Physical Therapist
  • Navarre, FL
  • NPI 1821014390
  NPD (past)

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1609179993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 VAN AALST BLVD BLDG 9250",
            "city": "FORT MOORE",
            "state": "GA",
            "postal_code": "319052102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4565 8TH SPECIAL FORCES WAY",
            "city": "EGLIN AFB",
            "state": "FL",
            "postal_code": "325421701",
            "telephone_number": "850-885-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPES",
        "first_name": "TAMARA",
        "middle_name": "LAYNE",
        "credential": "PT, DPT, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "Y09SG",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Elizabeth Comitalo, PHARMD
• Gavin Cone
• Alexandra Conway, MD
• Kyle Gene Cooper, PA-C
• Stacey Annette Cooper, CNM, ARNP
• Kent Alan Corso, PSYD
• Sean Francis Costello
• Joshua N Cragun, M.D.
• Jason Thomas Crays, PA-C
• Mark A Criswell, M.D., F.A.C.S.

• Physical Therapist in Eglin Afb, FL
• Providers in Eglin Afb, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.