Individual provider Active NPI

Rochelle Kopka, DPT

  • Physical Therapist
  • Dearborn, MI
National Provider Identifier
1629345202
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013369 Issued in MI
Practice address
16351 Rotunda Dr Apt 157
Dearborn, MI 48120-1182
Phone
(734) 718-2947
NPI assigned
Nov 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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 5501013369 MI Primary

Addresses

Primary practice location

16351 Rotunda Dr Apt 157
Dearborn, MI 48120-1182

Mailing address

1838 N 9 Mile Rd
Sanford, MI 48657-9694
Phone (989) 751-5950

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140130000033 MI Practitioner - Physical Therapist in Private Practice 1456580117 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, 600 clinicians
Tmi East IncGroup PAC ID 3274864665, 62 clinicians

Practice addresses (Care Compare)

101 Devonshire Dr
Lapeer, MI 48446-2855
Phone (810) 356-9238

1105 S Scott Rd
Saint Johns, MI 48879-8044
Phone (810) 701-4633

16351 Rotunda Dr
Dearborn, MI 48120-1170
Phone (810) 701-4633

1725 Port Sheldon St
Jenison, MI 49428-9002
Phone (810) 701-4633

2050 S Washington Rd
Holt, MI 48842-8631
Phone (810) 701-4633

2325 Rockwell Dr
Midland, MI 48642-9325
Phone (989) 898-9664

2885 10 Mile Rd NE
Rockford, MI 49341-9100
Phone (616) 326-0010

7005 Pontiac TRL
West Bloomfield, MI 48323-2181
Phone (248) 681-2476

851 Penniman Ave
Plymouth, MI 48170-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehab LLC Physical Therapist CurrentSince Aug 18, 2024 Accepting new patients
Tmi East, Inc. CurrentSince Jul 1, 2024 Accepting new patients

Locations

1725 Port Sheldon St
Jenison, MI 49428
Phone (616) 667-1725

851 Penniman Ave
Plymouth, MI 48170
Phone (248) 349-9595

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1629345202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1838 N 9 MILE RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579694",
            "telephone_number": "989-751-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16351 ROTUNDA DR APT 157",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481201182",
            "telephone_number": "734-718-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPKA",
        "first_name": "ROCHELLE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-25",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

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