Jonathan Dean Kopen, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA2509 Issued in OH

Practice address

555 Springbrook Dr
Medina, OH 44256-3651

Phone

(330) 725-3393

NPI assigned

Apr 16, 2007

Sex

Male

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

State licenses

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639394307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 CRESTVIEW DR",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339609",
            "telephone_number": "330-273-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SPRINGBROOK DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563651",
            "telephone_number": "330-725-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPEN",
        "first_name": "JONATHAN",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA2509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine R Kolleth, LPCC-S, LMFT
• Stephanie Kolodziej, OTR/L
• Jerry Stanley Kolosionek, DDS
• John Komara III, PHARM.D.
• Kontoveros Klobas Medina LLC
• Keith Kopisch, APRN
• Heather Kopkas, QMHS, CMS
• Candice Gabrielle Kordich
• Samantha Kost, MSW, LISW
• Zen Kotori, LMT

• Physical Therapy Assistant in Medina, OH
• Providers in Medina, OH by specialty
• Physical Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.