Individual provider Active NPI

Whitney Renee Kopernik

  • Physical Therapist
  • Middleburg, FL
National Provider Identifier
1629807144
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2219 County Road 220 Ste 304
Middleburg, FL 32068-7778
Phone
(904) 644-7722
NPI assigned
Aug 1, 2024
Last updated
Aug 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 FL Primary

Addresses

Primary practice location

2219 County Road 220 Ste 304
Middleburg, FL 32068-7778

Mailing address

2219 County Road 220 Ste 304
Middleburg, FL 32068-7778
Phone (904) 644-7722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240828004103 FL Practitioner - Physical Therapist in Private Practice 3476092990 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Collins Therapy, IncGroup PAC ID 8325231921, 11 clinicians

Practice addresses (Care Compare)

3339 Hwy 17
Green Cove Springs, FL 32043-3797
Phone (904) 618-3778

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Dec 26, 2024 Accepting new patients
H2 Rehabilitation Services of Florida LLC Physical Therapist Current Accepting new patients
Burke Collins Therapy, Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince Dec 1, 2024 Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince Dec 1, 2024 Accepting new patients
Summit Physical Therapy, PLLC Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients

Locations

831 Santa Barbara Blvd
Ste 227
Cape Coral, FL 33991

1305 N Orange Ave
Ste 118
Green Cove Springs, FL 32043
Phone (904) 531-5500

3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

2219 County Road 220
Ste 304
Middleburg, FL 32068
Phone (360) 707-8107

5401 W Kennedy Blvd
Ste 100
Tampa, FL 33609
Phone (813) 323-1959

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1629807144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 COUNTY ROAD 220 STE 304",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320687778",
            "telephone_number": "904-644-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 COUNTY ROAD 220 STE 304",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320687778",
            "telephone_number": "904-644-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPERNIK",
        "first_name": "WHITNEY",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

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