Marie Noelle Kopaczewski, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303652 Issued in CA

Practice address

18030 Magnolia St
Fountain Valley, CA 92708-5603

Phone

(714) 276-3992

NPI assigned

Feb 7, 2023

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

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Orange County Occupational Therapy Inc

  • Occupational Therapist
  • Costa Mesa, CA
  • NPI 1750044053

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1689370074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18030 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18030 MAGNOLIA ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085603",
            "telephone_number": "714-276-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACZEWSKI",
        "first_name": "MARIE",
        "middle_name": "NOELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Kobus, D.C.
• Kohli Plastic Surgery Medical Group Inc
• Elizabeth Ashely Kolozsvari
• Lalita M. Komanapalli, MD
• Jacob Koopman, DO
• Rebecca Brianna Koppel, DPT
• Sharon Korchin, OT
• Sanford Gerry Koyama, O.D.
• Kraetzer Shokoohy Healthcare
• Nicholas Kraetzer, D.C.

• Physical Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.