Individual
MR. JEFFREY DOUGLAS COPPOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
200 NW 4TH ST, BRYANT, AR 72022-3424
(501) 847-5660
Mailing address
9778 SPRINGHILL FARMS DR, ALEXANDER, AR 72002-8998
(501) 588-7674
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA936
AR
225100000X
Physical Therapist
Primary
PT2370
AR
225100000X
Physical Therapist
PT2660
AR
225200000X
Physical Therapy Assistant
PTA2715
AR
225X00000X
Occupational Therapist
OTR825
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126978721
—
AR
05
—
139676721
—
AR
05
—
149815721
—
AR
05
—
1619411721
—
AR
05
—
197090795
—
AR
05
—
211208721
—
AR
01
—
5U673
BCBS
AR
Enumeration date
03/23/2006
Last updated
07/31/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us