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WILLOW VIVIAN COPULOS
NPI 1679458657
Speech-Language Pathologist in Staten Island, NY

Active since August 08, 2025
1415 RICHMOND AVE, STATEN ISLAND, NY 10314(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Willow Vivian Copulos NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLOW VIVIAN COPULOS (NPI 1679458657) is an individual speech-language pathologist provider in Staten Island, New York, licensed in New York (033852) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1679458657
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameWILLOW VIVIAN COPULOS
Location Address1415 RICHMOND AVEStaten Island, NY 10314-1553
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Phone(877) 407-3422
Fax(877) 407-4329
Sole ProprietorNo
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1679458657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in NY · 033852
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
1415 RICHMOND AVE, Staten Island, NY 10314
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willow Vivian Copulos is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Willow Copulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fox Rehabilitation Physical Therapy Services LLC
16 mi
Physical Therapist
1844 2ND AVE
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 564 clinicians in this Medicare group
NPI 1174560650 (877) 407-3422

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEENO JOSEPH
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
JOY MURPHY
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
ANNA GRIPPO
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
SHEEJA SLATTERY PT
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
JENNIFER GONZALEZ
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
EMILY MARSALA
Speech-Language Pathologist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
DORIANNA KOLA OT
Occupational Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422
ANIKETH M CHAVAN PT
Physical Therapist
1415 RICHMOND AVE
STATEN ISLAND, NY 10314
Richmond County (877) 407-3422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Willow Copulos's NPI number?

The NPI number for Willow Copulos is 1679458657. It was assigned to this individual provider in the NPPES registry on August 8, 2025.

Where is Willow Copulos located?

Willow Copulos practices at 1415 Richmond Ave, Staten Island, NY 10314. The listed phone number is (877) 407-3422.

What is Willow Copulos's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Willow Copulos enrolled in Medicare?

Yes. Willow Copulos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Willow Copulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willow Copulos reassigns Medicare benefits to Fox Rehabilitation Physical Therapy Services LLC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willow Copulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Willow Copulos was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.