Old Dominion University
NPI 1871929729ActiveOrganization· Physical Therapist· Norfolk, VA
Physical Therapist in Norfolk, Virginia, registered in NPPES in September 2013, part of Old Dominion University. The authorized official on file is Lisa R. Koperna, DPT, Clinic Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1871929729 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Old Dominion University |
| NPI issued | Sep 24, 2013 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Jun 14, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Physical Therapy Assistant | 225200000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
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