Ron L Kopitzke, P.T., DPT., OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT10643 Issued in CA

Practice address

4300 Golden Center Dr
Suite B
Placerville, CA 95667-6278

Phone

(530) 344-2045

Fax

(530) 642-0794

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sierra Orthopaedic and Athletic Rehabilitation Physical TherapyincGroup PAC ID 0941651483, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

59.36 of 100Reported as individual

Quality

90.26

Improvement activities

0

Cost

77.51

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 and National Provider Directory roles.

• Sierra Orthopaedic & Athletic Rehabilitation Physical Therapyinc

  • Physical Therapist
  • Placerville, CA
  • NPI 1225721442
  Medicare reassignment Care Compare group NPD
• Ron L Kopitzke PT, DPT Ocs

  • Specialist
  • Placerville, CA
  • NPI 1821008236
  NPD (past) Authorized official

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296432000000",
    "number": "1972546752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 GOLDEN CENTER DR",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676278",
            "telephone_number": "530-344-2045",
            "fax_number": "530-642-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 GOLDEN CENTER DR",
            "address_2": "SUITE B",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676278",
            "telephone_number": "530-344-2045",
            "fax_number": "530-642-0794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPITZKE",
        "first_name": "RON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "P.T., DPT., OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2011-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT10643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Michael Knost, M.D.
• William Koble, M.D.
• Kelly Marie Koelsch, RADT1
• Christine Satomi Kondo-Lister, LCSW
• Andrei Ivanovich Kononovich, RN
• Jordyn Kotowski
• Toya Kuchena, NP
• Stanley Kwong, M.D.
• Juliet La Mers
• La Relle C Plubell Chiropractic Inc

• Physical Therapist in Placerville, CA
• Providers in Placerville, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.