Anna Copenhagen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304341 Issued in CA

Practice address

659 Commercial St Ste 101
San Francisco, CA 94111-2566

Phone

(415) 904-8707

Fax

(415) 276-6024

NPI assigned

Sep 5, 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

Locations

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.

• Renew Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Novato, CA
  • NPI 1255508453

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1730965872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 GRANT AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949453118",
            "telephone_number": "415-895-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 COMMERCIAL ST STE 101",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941112566",
            "telephone_number": "415-904-8707",
            "fax_number": "415-276-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPENHAGEN",
        "first_name": "ANNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Michele Copeland
• Evan Garrett Copeland
• Luther Emanuel Copeland Jr.
• Nicole G Copeland, RN, MSN
• Ross Ian Copeland
• Garth A Copenhaver, PSY.D.
• Michelle Kaylor Copley
• Hillary L Copp, MD, MS
• Catherine Margaret Coppenrath
• Michael L. Coppolino, MD

• Physical Therapist in San Francisco, CA
• Providers in San Francisco, 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 5, 2023; 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.