MR. FRANK T COPPOLINO JR. (NPI# 1972803773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972803773 |
| Entity Type | Individual |
| Full Name | MR. FRANK T COPPOLINO JR. |
| Credential | CP |
| Practice Address |
5425 Regency Woods Mnr Imperial MO 63052-1971 |
| Practice Telephone | 8125892069 |
| Mailing Telephone | 8125892069 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245379387 | Frank Philip Coppolino | Internal Medicine | 901 W Main St, Suite 160, Freehold, NJ 07728-2537 | 2007-02-05 |
| Street Address |
5425 REGENCY WOODS MNR |
| City | IMPERIAL |
| State | MO |
| Zip Code | 63052-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801419601 | Junction Bracing & Pt | Physical Therapist | 4924d Sean Drive, Imperial, MO 63052 | 2020-05-27 |
| 1043869456 | Susan Hawthorne | Technician | 2918 Sunridge Place, Imperial, MO 63052 | 2019-09-09 |
| 1275877805 | Ride On St Louis, Inc. | Residential Treatment Facility, Physical Disabilities | 6008 Windsor Harbor Ln, Imperial, MO 63052 | 2012-11-20 |
| 1861778029 | Kelli Allen | Counselor | 6106 Kensington Court, Imperial, MO 63052 | 2011-11-01 |
| 1972730091 | Laura Ann Bequette | Optometrist | 1259 Main Street Plaza, Imperial, MO 63052 | 2009-06-16 |
| 1437329133 | All Care Transport, Inc. | Non-emergency Medical Transport (VAN) | 5844 Hwy. 61-67, Imperial, MO 63052 | 2008-03-10 |
| 1578029419 | Laura Lea Raineri | Nurse Practitioner | 1254 Main St, Imperial, MO 63052 | 2019-02-15 |
| 1033362900 | Angela Fears | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1437302379 | Mary Peterein | Speech-Language Pathologist | 6208 Us Highway 61/67, Imperial, MO 63052 | 2008-10-23 |
| 1780651984 | Charles J Johnson | Chiropractor | 1006 Main Street, Suite B, Imperial, MO 63052 | 2006-03-07 |
| Find all providers in zip 63052 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932445095 | Tamera Newberry | Prosthetist | 5248 Darkmoor Ln, Imperial, MO 63052-3036 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659987295 | Lake St. Louis Wigs and Cuts | Prosthetist | 950 Corporate Pkwy Ste 100, Wentzville, MO 63385-4851 | 2020-09-18 |
| 1093320962 | Nia L Taylor | Prosthetist | 411 Sw Ward Rd, Lees Summit, MO 64081-2448 | 2020-09-09 |
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1417458662 | Whitney Marie Witherspoon | Prosthetist | 3821 Vaile Ave, Florissant, MO 63034-2227 | 2018-02-23 |
| 1053657924 | Jazz Hair Institute | Prosthetist | 3950 Cook Ave, Saint Louis, MO 63113-3402 | 2012-12-21 |
| 1649507328 | Vikram Choudhary | Prosthetist | 6126 Washington Blvd, # 201, St. Louis, MO 63112 | 2009-11-17 |
| 1326197559 | Karen Christine Reiff | Prosthetist | 3230 S National Ave, Suite B, Springfield, MO 65807-7303 | 2007-01-09 |
| 1548348451 | Catherine S Sorrel I | Prosthetist | 41 State Road O Apt 1a, Macks Creek, MO 65786-9500 | 2006-11-01 |
| 1134110893 | Roberta J Peregrine | Prosthetist | 2602 Frederick Ave, Ste A, Saint Joseph, MO 64506-2840 | 2005-11-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.