Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lisa Renee Koperna, PT, DPT, SCS, ATC

Individual provider Physical Therapist · NPI 1720057110

Dr. Lisa Renee Koperna, PT, DPT, SCS, ATC is a Physical Therapist in Private Practice in Norfolk, Virginia. Qualified in 1993, 33 years ago. Practices with Old Dominion University, a 13-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
33
Licensed in
VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1015 W 47th St
Norfolk, VA 23529-0001
Phone: (757) 683-4228
Fax: (757) 683-7050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305004592 (VA)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 2305004592 (VA)
Athletic Trainer Taxonomy 2255A2300X · Licence 0126000619 (VA)

Record details

NPI number1720057110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , SCS , ATC
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESMay 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Old Dominion University — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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