Jerame Joseph Kopka

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201007115 Issued in MI

Practice address

449 Quarter St
Gladwin, MI 48624-1918

Phone

(989) 246-6302

NPI assigned

Aug 12, 2009

Sex

Male

Sole proprietor

Yes

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

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.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1841422672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 CONCORD ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486423517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 QUARTER ST",
            "city": "GLADWIN",
            "state": "MI",
            "postal_code": "486241918",
            "telephone_number": "989-246-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPKA",
        "first_name": "JERAME",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Mae Kibler
• Christina Killey
• Brenna Kristin-Liesma Kind, LMSW, CCS-DP, CAADC
• Rosalyn Kindell
• Douk Kook
• Karlee Espen Koshorek
• Ushasri Subbarao Kotipalli, PHYSICAL THERAPIST
• Rebecca Kozlow
• Eric Kreckman
• Pheonix Lacoe Kreutzer-Bailey, PK

• Occupational Therapist in Gladwin, MI
• Providers in Gladwin, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.