Active NPI
Keith Copper Jr.
- Physical Therapy Assistant
- High Point, NC
National Provider Identifier
1689513004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A8754
- Practice address
- 109 Penny Rd
High Point, NC 27260-2500 - Phone
- (336) 821-4050
- NPI assigned
- Mar 28, 2026
- Last updated
- Mar 28, 2026
- Sex
- Male
- 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 Therapy Assistant | 225200000X | A8754 | NC | Primary |
Addresses
Primary practice location
109 Penny Rd
High Point, NC 27260-2500
Mailing address
3721 Queenswood LN
Jamestown, NC 27282-9589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8754 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774656000000",
"number": "1689513004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3721 QUEENSWOOD LN",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272829589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PENNY RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272602500",
"telephone_number": "336-821-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPER",
"first_name": "KEITH",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-03-28",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A8754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
- Stephanie Anne Cooke, LCMHCA
- Juliette Bates Cooper, PHARMD
- Sharia Shondale Cooper, LPN
- Darrell A. Cope, MD
- Linda Copeland, M.S.
- Core Therapy and Resolutions, PLLC.
- David Wade Cornell, MD
- Cornerstone Caregiving East LLC
- Cornerstone Health Care (PUA Center for Continence and Special Procedures)
- Cornerstone Health Care (Piedmont Urological CT)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.