Active NPI
Nadine Coppola, PT
- Physical Therapist
- Fountain Hills, AZ
National Provider Identifier
1710002522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1311
- Practice address
- 9507 N Fireridge TRL
Fountain Hills, AZ 85268-5976 - Phone
- (480) 451-0200
- Fax
- (480) 451-8951
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- 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 Therapist | 225100000X | 1311 | AZ | Primary |
Addresses
Primary practice location
9507 N Fireridge TRL
Fountain Hills, AZ 85268-5976
Mailing address
9507 N Fireridge TRL
Fountain Hills, AZ 85268-5976
Phone (480) 451-0200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1311 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synertx, Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239667200000",
"number": "1710002522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9507 N FIRERIDGE TRL",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852685976",
"telephone_number": "480-451-0200",
"fax_number": "480-451-8951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9507 N FIRERIDGE TRL",
"city": "FOUNTAIN HILLS",
"state": "AZ",
"postal_code": "852685976",
"telephone_number": "480-451-0200",
"fax_number": "480-451-8951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPPOLA",
"first_name": "NADINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2009-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "1311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fountain Hills, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.