Individual provider Active NPI

Elena Copenheaver

  • Physical Therapist
  • Carlisle, PA
National Provider Identifier
1902589690
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT031521 Issued in PA
Practice address
1075 Harrisburg Pike Ste 104
Carlisle, PA 17013-1689
Phone
(717) 422-5838
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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 PT031521 PA Primary

Addresses

Primary practice location

1075 Harrisburg Pike Ste 104
Carlisle, PA 17013-1689

Mailing address

3390 Saxonburg Blvd Ste 250
Glenshaw, PA 15116-3160
Phone (412) 767-5967

Other practice location 1

3390 Saxonburg Blvd Ste 250
Glenshaw, PA 15116-3160
Phone (412) 767-5967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT031521PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1902589690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 SAXONBURG BLVD STE 250",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151163160",
            "telephone_number": "412-767-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 HARRISBURG PIKE STE 104",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170131689",
            "telephone_number": "717-422-5838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3390 Saxonburg Blvd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Glenshaw",
            "state": "PA",
            "postal_code": "151163160",
            "country_code": "US",
            "telephone_number": "412-767-5967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPENHEAVER",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; 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.