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NPI Code Detail

MEDICARE: KASEY COPELAND PT, DPT

MEDICARE: KASEY COPELAND PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305217582VA

General Provider Information

NPI Number : 1639020662
Entity Type Code : Individual
Provider Name (Legal Business Name) : KASEY COPELAND PT, DPT
Provider Business Mailing Address
First Line : 250 JOSEPHS DR
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3405
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 250 JOSEPHS DR
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-3405
Country : US
Telephone Number : 757-272-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2026
Last Update Date : 02/05/2026

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Directions to “ KASEY COPELAND PT, DPT” Practice Location

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