Robert B Kopitzke, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 14742 Issued in CA

Practice address

1675 Creekside Drive
Ste 101
Folsom, CA 95630-3891

Phone

(916) 939-6800

Fax

(916) 939-6874

NPI assigned

Jan 8, 2007

Last updated

Dec 24, 2024By the provider in NPPES

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Concepts IncGroup PAC ID 3476506676, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Body Concepts Inc.

  dba Body Concepts

  • Physical Therapy Clinic/Center
  • Folsom, CA
  • NPI 1841396033

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Body Concepts, Inc.

  • Physical Therapy Clinic/Center
  • Folsom, CA
  • NPI 1912309279
  NPD Authorized official

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734998400000",
    "number": "1699823146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 CREEKSIDE DRIVE",
            "address_2": "STE 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303891",
            "telephone_number": "916-939-6800",
            "fax_number": "916-939-6874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 CREEKSIDE DRIVE",
            "address_2": "STE 101",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303891",
            "telephone_number": "916-939-6800",
            "fax_number": "916-939-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITZKE",
        "first_name": "ROBERT",
        "middle_name": "B",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 14742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Harry Koett, DDS
• Martha L. Kohler, L.C.S.W.
• Kristin Noelle Koller, LMFT, MS
• Anna Komissarova
• Elizabeth Joanne Koontz
• Norbert G Korp, D.M.D.
• Julia Korsunsky, NP
• Florence Kathleen Kotze, OTRIL CHT
• Sean Koulaboud, APRN
• William Frederick Kramer, D.O.

• Physical Therapist in Folsom, CA
• Providers in Folsom, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.