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

MS. Mary Michele Coppola, PT

Individual provider Physical Therapist · NPI 1912988015

MS. Mary Michele Coppola, PT is a Physical Therapist in Massapequa, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

700 Broadway
Massapequa, NY 11758-2324
Phone: (516) 797-7003
Fax: (516) 797-7336
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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 5628 (NY)

Record details

NPI number1912988015
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESJuly 13, 2026

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