Ashley Denise Kopso, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305211888 Issued in VA

Practice address

1935 W Main St
Salem, VA 24153

Phone

(540) 302-0190

Fax

(540) 302-0191

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 3, 2019.

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1780155127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241533109",
            "telephone_number": "540-302-0190",
            "fax_number": "540-302-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 W MAIN ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "24153",
            "telephone_number": "540-302-0190",
            "fax_number": "540-302-0191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1824 9th St SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240132902",
            "country_code": "US",
            "telephone_number": "540-512-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOPSO",
        "first_name": "ASHLEY",
        "middle_name": "DENISE",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305211888",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126002269",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Joseph Klopfenstein, DPM
• Jan Klose
• John Weidner Knarr, M.D.
• Lawson William Koeppel, MSW, LCSW
• Marina Kolessova, M.D.
• Jessica Kosmann, PHARMD
• Cody Kost
• George Michael Koumaras, DDS
• Csaba Pal Kovesdy, M.D.
• Moriah Susanne Krason, MD

• All providers in Salem, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.