Individual provider Active NPI

Nicole Copti, DPT

  • Physical Therapist
  • Santa Fe, NM
National Provider Identifier
1912451204
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5140 Issued in NM
Practice address
404 Brunn School Rd Ste D
Santa Fe, NM 87505
Phone
(505) 983-0670
NPI assigned
Aug 4, 2016
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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 5140 NM Primary

Addresses

Primary practice location

404 Brunn School Rd Ste D
Santa Fe, NM 87505

Mailing address

404 Brunn School Rd Ste D
Santa Fe, NM 87505-1102
Phone (505) 983-0670

Other practice location 1

404 Brunn School Rd Ste D
Santa Fe, NM 87505
Phone (505) 983-0670

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
5140NMMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NM BNPT Investment LLC Physical Therapist CurrentSince Jan 1, 2021 Accepting new patients

Locations

1607 7th St
Ste C
Las Vegas, NM 87701
Phone (505) 429-3930

1972 Route 66
Santa Rosa, NM 88435
Phone (575) 472-1213

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1912451204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875051102",
            "telephone_number": "505-983-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRUNN SCHOOL RD STE D",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-983-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Brunn School Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "87505",
            "country_code": "US",
            "telephone_number": "505-983-0670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPTI",
        "first_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NM",
            "license": "5140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.