Sozo Performance Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SOZO PERFORMANCE THERAPY LLC

Practice address

75-5597 Palani Rd
Kailua Kona, HI 96740-1661

Phone

(256) 622-9970

NPI assigned

Oct 19, 2024

Last updated

Oct 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay Copeland, PTNPI 1194453720

Title

Owner

Phone

(256) 622-9970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jay Michael Copeland, PT, DPT

  • Physical Therapist
  • Kailua Kona, HI
  • NPI 1194453720
  NPD Authorized official

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

{
    "created_epoch": "1729296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729296000000",
    "number": "1861213191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST STE C7 PMB 524",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403122",
            "telephone_number": "256-622-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5597 PALANI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401661",
            "telephone_number": "256-622-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO PERFORMANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-622-9970",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Lee Smith, D.O.
• Charley Somsanguansit, LAC, LMT
• Sophia Wang & Associates, Inc.
• Soul Center
• Crystal-Lee Souza
• Stephanie Spenny, N.D.
• Marlene K Sperka, LMT
• Kimberly Anne Sprenkel, RPH
• Jennifer Stabrylla, LMT
• Brian Stahl

• Physical Therapist in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2024; 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.