Nicole Heather Koppenhaver, DPT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

1190051 Issued in TX

Practice address

414 Robinhood PL
San Antonio, TX 78209-3426

Phone

(210) 842-4456

NPI assigned

Oct 19, 2006

Last updated

Jul 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Baylor College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Emg PLLCGroup PAC ID 4789998360, 2 clinicians

Practice addresses (Care Compare)

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.

• Precision Emg PLLC

  • Physical Therapist
  • Layton, UT
  • NPI 1811296155
  Medicare reassignment Care Compare group NPD
• Ogden Clinic PC

  • Family Medicine Physician
  • Ogden, UT
  • NPI 1578550083

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1942382320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ROBINHOOD PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093426",
            "telephone_number": "210-842-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ROBINHOOD PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093426",
            "telephone_number": "210-842-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPPENHAVER",
        "first_name": "NICOLE",
        "middle_name": "HEATHER",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1190051",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "6287043-2401",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "TX",
            "license": "1190051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Joseph Kopchinski, MD, FACS
• Katherine A Kopecki
• Sarah M Kopf, APRN
• Amanda Koplin, LPC
• Erik John Koppang, M.D.
• Gerald Max Koppes, MD
• Prathibha Korah, APRN
• Meghan Korb
• Rachel Korban, M.ED., BCBA, LBA
• Hafez Kordab, PA-C

• Neurology Physical Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.

Verify at the official NPI Registry.