Kristin Copeland, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

06477 Issued in CT

Practice address

115 Technology Dr Unit B100
Trumbull, CT 06611-6338

Phone

(203) 268-8888

NPI assigned

Oct 10, 2007

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jewish Home for the Elderly of Fairfield County Incorporated

  dba Mozaic Outpatient Rehab

  • Rehabilitation Clinic/Center
  • Bridgeport, CT
  • NPI 1285962928
  Medicare reassignment NPD
• Connectcare

  • Home Health Agency
  • Guilford, CT
  • NPI 1346617115
  NPD (past)

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1871781328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT B100",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116338",
            "telephone_number": "203-268-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 TECHNOLOGY DR UNIT B100",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066116338",
            "telephone_number": "203-268-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "KRISTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "06477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "06477",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Coontz
• Barbara B. Cooper
• Cooperative Educational Services
• Coopergenomics,Inc
• Coordinated Transportation Solutions, Inc.
• Scott W. Copeland, MSPT
• Benedetta Maria Cordaro, LMFT-A
• Chasity Cortes
• Ivette Cosme, M.A.CCC/SLP
• Counseling and Resource Services, LLC

• Physical Therapist in Trumbull, CT
• Providers in Trumbull, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.