Individual provider Active NPI

Emily Elizabeth Coppedge Kolar, DPT

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1841757317
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT34367 Issued in FL
Practice address
1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549
Phone
(904) 858-7045
Fax
(904) 858-7047
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT34367 FL Primary

Addresses

Primary practice location

1325 San Marco Blvd Ste 102
Jacksonville, FL 32207-8549

Mailing address

PO Box 117345
Atlanta, GA 30368-7345
Phone (904) 346-3465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190305002175 FL Practitioner - Physical Therapist in Private Practice 8224377460 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Lakewood Ranch, FL 34240
Phone (904) 412-2882

Merit-based Incentive Payment System (MIPS)

Final score
63.05 of 100Reported as group
Quality
27.45
Improvement activities
40
Cost
73.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34367FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agility Physical Therapy & Sports Performance, LLC Physical Therapist CurrentSince Dec 1, 2023 Accepting new patients
Integrated Physical Therapy Services of North Florida, LLC Physical Therapist CurrentSince Mar 13, 2024 Accepting new patients
QRM Plus Florida LLC Physical Therapist CurrentSince Jul 15, 2025 Accepting new patients
Optimized Therapy Transitions, LLC Physical Therapist CurrentSince Apr 8, 2023 Accepting new patients
Florida Luna Care Physical Therapy LLC Physical Therapist CurrentSince Sep 16, 2021 Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist PastSince Mar 4, 2019 Accepting new patients

Locations

5011 Gate Pkwy
Ste 100
Jacksonville, FL 32256
Phone (904) 326-3627

3948 3rd St S
Jax Bch, FL 32250
Phone (904) 285-9355

19790 Wellen Park Blvd
Ste 205
Venice, FL 34293
Phone (941) 484-8107

834 Pinebrook Rd
Venice, FL 34285
Phone (941) 355-9601

670 Flushing Ave
Ste 307
Brooklyn, NY 11206

Organizations & group practices 6

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1841757317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117345",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687345",
            "telephone_number": "904-346-3465",
            "fax_number": "904-858-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078549",
            "telephone_number": "904-858-7045",
            "fax_number": "904-858-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAR",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH COPPEDGE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT34367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.