Gregory Neal Kopp, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501007526 Issued in MI

Practice address

2058 S State St
Ste 500
Ann Arbor, MI 48104-4786

Phone

(734) 913-0300

Fax

(734) 913-0400

NPI assigned

Feb 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209600000000",
    "number": "1982730487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 W CLARK RD",
            "address_2": "STE 106",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971120",
            "telephone_number": "734-528-9760",
            "fax_number": "734-829-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S STATE ST",
            "address_2": "STE 500",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044786",
            "telephone_number": "734-913-0300",
            "fax_number": "734-913-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "GREGORY",
        "middle_name": "NEAL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501007526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID UNSPECIFIED",
            "identifier": "0P09920010",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Fryatt Kooser, AUD
• Claire Marie Kopachik, MD
• Sally A Kope, MSW
• Karen Ann Kopicko, RN, CPNP
• Stefan Kopka
• Prabhat Koppera, MD
• Kate Koppin
• Kaitlyn Rose Korah, PHARMD
• Daniel Korankye-Boadu, MD
• Mark M Korenke

• Physical Therapist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.