Active NPI
Emily Elizabeth Coppedge Kolar, DPT
- Physical Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 100
- Quality
- 27.45
- Improvement activities
- 40
- Cost
- 73.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34367 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility Physical Therapy & Sports Performance, LLC | Physical Therapist | Current | Accepting new patients |
| Integrated Physical Therapy Services of North Florida, LLC | Physical Therapist | Current | Accepting new patients |
| QRM Plus Florida LLC | Physical Therapist | Current | Accepting new patients |
| Optimized Therapy Transitions, LLC | Physical Therapist | Current | Accepting new patients |
| Florida Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | 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.
-
- Physical Medicine & Rehabilitation Physician
- Lakewood Ranch, FL
- NPI 1093183519
Physical Therapist
-
- Physical Therapist
- Venice, FL
- NPI 1154640027
-
- Physical Therapist
- Jacksonville, FL
- NPI 1114542032
-
- Occupational Therapist
- St Petersburg, FL
- NPI 1891346680
Physical Therapist
-
- Physical Therapist
- Clearwater, FL
- NPI 1851061394
-
- Physical Therapist
- Fernandina Beach, FL
- NPI 1942660212
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.