NICOLE HEATHER KOPPENHAVER (DPT) – Neurology Physical Therapist, NPI 1942382320

NICOLE HEATHER KOPPENHAVER (DPT) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 1190051 (TX). The NPI Number for NICOLE HEATHER KOPPENHAVER (DPT) is 1942382320

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE HEATHER KOPPENHAVER (DPT)
NPI
1942382320
Phone
(210) 842-4456
Address
414 ROBINHOOD PL
Enumeration Date
19 October 2006
Last Update Date
15 July 2011

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
8017252380
Graduation Year
1998 (28 years ago)
PAC ID
0244368231
Group Practice PAC ID
4789998360
Professional Enrollment ID
I20221117000183
Address ID
UT844034303OG4700XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for NICOLE HEATHER KOPPENHAVER (DPT)

  • 414 ROBINHOOD PL

    SAN ANTONIO, TX 782093426

    Phone: (210) 842-4456

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221117000183IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
95886Needle measurement of electrical activity in arm or leg muscles, complete study9347$0
95911Nerve conduction, 9-10 studies2424$0
95910Nerve conduction, 7-8 studies1717$0
View full utilization report →

Insurance plans in this area (ZIP 78209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789998360View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT

Reviews

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Frequently asked questions

What identifier follows NICOLE HEATHER KOPPENHAVER (DPT) across health systems?
The NPI 1942382320 uniquely identifies NICOLE HEATHER KOPPENHAVER (DPT) in U.S. healthcare data.
Should I treat NICOLE HEATHER KOPPENHAVER (DPT) as an active provider?
Patients and plans typically see NICOLE HEATHER KOPPENHAVER (DPT) as active in the national extract.
How should patients interpret NICOLE HEATHER KOPPENHAVER (DPT)'s specialty?
The extract shows Neurology Physical Therapist for NICOLE HEATHER KOPPENHAVER (DPT). Clinical services aligned with this taxonomy classification.
Can patients visit NICOLE HEATHER KOPPENHAVER (DPT) in San Antonio, Texas?
For routing, start with San Antonio, Texas for NICOLE HEATHER KOPPENHAVER (DPT), then verify phone and hours locally.
Who maintains NICOLE HEATHER KOPPENHAVER (DPT)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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