Jacklyn Coppola, PT, DPT
NPI 1942667290ActiveIndividual· Physical Therapist· Canton, MI
Physical Therapist (PT, DPT) in Canton, Michigan, licensed in MI, with an NPI issued in January 2016. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1942667290 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Jan 18, 2016 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 5501017144 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MI) |
|---|
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