Active NPI
Rochelle Kopka, DPT
- Physical Therapist
- Dearborn, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501013369
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Rehab LLC | Physical Therapist | Current | Accepting new patients |
| Tmi East, Inc. | Current | 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.