Caitlin R Coppenrath, MS, ACSM-CEP, CCRP

Primary specialty

Clinical Exercise PhysiologistTaxonomy code 224Y00000X

License

1023439 Issued in ME

Practice address

22 Bramhall St
Portland, ME 04102-3134

Phone

(207) 396-8700

Fax

(207) 396-8750

NPI assigned

Dec 20, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1609684729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-396-8700",
            "fax_number": "207-396-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPENRATH",
        "first_name": "CAITLIN",
        "middle_name": "R",
        "credential": "MS, ACSM-CEP, CCRP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "ME",
            "license": "1023439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas M Cooper, PHD
• Hannah Cooperman, DO
• Christopher Coose, LADC,CCS
• Leah Coplon, CNM
• Breanna M Copp, MS, OTR/L
• Samuel Joseph Coppola Jr., DDS
• Cor Health Services LLC (Home Health Care Solutions)
• Coram Alternate Site Services, Inc. (Coram CVS/specialty Infusion Services)
• Abbie Corbeau
• Delanie Corcoran

• Clinical Exercise Physiologist in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Exercise Physiologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.