National Provider Identifier
Austin John Coppola, PT, DPT
Austin John Coppola, PT, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Rochester, NY and a listed phone number of (585) 341-9200.
Profile Overview
- NPI
- 1255932620
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- November 03, 2020
- Last Updated
- November 03, 2020
Practice Location
- 4901 Lac De Ville Blvd
- Rochester, NY 14618-5647
Phone: (585) 341-9200
Mailing Address
- 45 Princeton Ln
- Fairport, NY 14450-9026
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1255932620
- Entity Type
- Individual
- Last Name
- Coppola
- First Name
- Austin
- Middle Name
- John
- Credential
- PT, DPT
- Mailing Street Address
- 45 Princeton Ln
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-9026
- Mailing Country
- US
- Practice Street Address
- 4901 Lac De Ville Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5647
- Practice Country
- US
- Practice Phone
- (585) 341-9200
- Enumeration Date
- November 03, 2020
- Last Updated
- November 03, 2020
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- November 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)