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

Trevor Koplitz, DPT

Individual provider Physical Therapist · NPI 1912523911

Trevor Koplitz, DPT is a Physical Therapist in Private Practice in Tupelo, Mississippi. Qualified in 2017, 9 years ago. Practices with Sog Physical Therapy, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and Mississippi.

Years since qualifying
9
Licensed in
LA, MS
In the registry since
2020
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1211 S Gloster St Ste C
Tupelo, MS 38801-6548
Phone: (662) 432-1523
Fax: (662) 432-1528
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 204 Boots Dr, Farmerville, LA 71241-3102 — (318) 620-0075

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7850 (MS)
Physical Therapist Taxonomy 225100000X · Licence 09675 (LA)

Record details

NPI number1912523911
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 25, 2020
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025
Mailing address1211 S Gloster St, Tupelo, MS 38801-6546

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sog Physical Therapy — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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