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

MS. Malia Renee Koppin, PT, DPT

Individual provider Physical Therapist · NPI 1225366883

MS. Malia Renee Koppin, PT, DPT is a Physical Therapist in Private Practice in Cambridge, Massachusetts. Qualified in 2009, 17 years ago. Practices with Evolution Physical Therapy Inc, a 72-clinician group. Licensed in Massachusetts.

Years since qualifying
17
Licensed in
MA
In the registry since
2009
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.

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Practice location Address checks out

77 Gore St
Cambridge, MA 02141-1213
Phone: (937) 726-7222
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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 18876 (MA)

Record details

NPI number1225366883
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedNovember 19, 2009
Last updated in NPPESJune 14, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Evolution Physical Therapy Inc — 72 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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