Individual provider Active NPI

Andrew J Kupper, PT DPT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1720441652
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34801 Issued in FL
Practice address
2546 Heydon LN Ste 4
Cape Coral, FL 33991-3550
Phone
(239) 223-0484
Fax
(239) 790-0969
NPI assigned
Mar 29, 2016
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X WI
Physical Therapist 225100000X 34801 FL Primary

Addresses

Primary practice location

2546 Heydon LN Ste 4
Cape Coral, FL 33991-3550

Mailing address

2546 Heydon LN Ste 4
Cape Coral, FL 33991-3550
Phone (309) 339-1671

Other practice location 1

14601 Hope Center Loop
Fort Myers, FL 33912-4707
Phone (239) 334-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029000463 FL Practitioner - Physical Therapist in Private Practice 5799195905 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omspt Holdings LLCGroup PAC ID 1850789066, 13 clinicians

Practice addresses (Care Compare)

13050 Metro Pkwy
Fort Myers, FL 33966-4800
Phone (239) 313-6109

Merit-based Incentive Payment System (MIPS)

Final score
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34801FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Omspt Holdings LLC Physical Therapist CurrentSince Mar 15, 2022 Accepting new patients
X3 Performance and Physical Therapy Physical Therapist CurrentSince Jul 21, 2026 Accepting new patients
Lifestyle Hearing Corporation USA Inc CurrentSince Nov 2, 2020 Accepting new patients
Back in Motion Cape Coral LLC Physical Therapist CurrentSince Nov 2, 2020 Accepting new patients
Orthopedic Specialists of SW Florida, P.a. CurrentSince Oct 16, 2023 Accepting new patients
Omspt Holdings LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Orthopedic Specialists of SW Florida, P.a. Physical Therapist PastSince Oct 16, 2023 Accepting new patients

Locations

2546 Heydon Ln
Ste 4
Cape Coral, FL 33991
Phone (239) 223-0484

2708 Santa Barbara Blvd
Ste 145
Cape Coral, FL 33914
Phone (239) 214-3589

13050 Metro Pkwy
Ste 1
Fort Myers, FL 33966

14561 Jetport Loop
Fort Myers, FL 33913
Phone (239) 313-6109

14561 Jetport Loop
Bldg 200
Fort Myers, FL 33913
Phone (239) 313-6109

14601 Hope Center Loop
Fort Myers, FL 33912
Phone (239) 334-7000

9400 Gladiolus Dr
Ste 100
Fort Myers, FL 33908
Phone (239) 223-0484

1212 Bath Ave
Ste 350
Ashland, KY 41101

6008 Brownsboro Park Blvd
Ste C
Louisville, KY 40207
Phone (502) 899-4760

Interoperability endpoints

  • FHIR API: https://osswf.mmi.prod.fhir.ema-api.com/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1720441652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2546 HEYDON LN STE 4",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913550",
            "telephone_number": "309-339-1671",
            "fax_number": "239-790-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2546 HEYDON LN STE 4",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339913550",
            "telephone_number": "239-223-0484",
            "fax_number": "239-790-0969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14601 Hope Center Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124707",
            "country_code": "US",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUPPER",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "34801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.