Copper Sage Health LLC
Clinic/Center, Physical Therapy in Mesa, AZ. Organization (NPI-2).
NPI number1740196161
StatusActive
Last updated in NPPESAug 24, 2026
Details
- NPI
- 1740196161
- Entity type
- Organization (NPI-2)
- Legal business name
- Copper Sage Health LLC
- Organization subpart
- No
- Enumeration date
- Aug 24, 2026
- Certification date
- Aug 24, 2026
- Last updated
- Aug 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Practice location
1350 S Ellsworth Rd Apt 1093Mesa, AZ 85209-2807
Phone 602-725-1201
Mailing address
1350 S Ellsworth Rd Apt 1093Mesa, AZ 85209-2807
Authorized official
Robert Kinyon
Owner
6027251201
Is something wrong?
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All 44 Physical Therapy Clinic/Center providers in Mesa · All 13,507 providers in Mesa
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