DR. KEIRA NICOLE KOPCHYAK PT, DPT
NPI 1689502049
Physical Therapist in Marlborough, CT

Active since May 13, 2026
5 S MAIN ST, MARLBOROUGH, CT 06447(860) 840-2778(860) 856-6972 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Keira Nicole Kopchyak Pt, Dpt NPPES

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

DR. KEIRA NICOLE KOPCHYAK PT, DPT (NPI 1689502049) is an individual physical therapist in Marlborough, Connecticut and active in the NPI registry since May 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1689502049
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameDR. KEIRA NICOLE KOPCHYAKCredential: PT, DPT
Location Address5 S MAIN STMarlborough, CT 06447-1592
Mailing Address5 S Main StMarlborough, CT 06447-1592 · (860) 840-2778 · Fax (860) 856-6972
Fax(860) 856-6972
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1689502049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
5 S MAIN ST, Marlborough, CT 06447

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Keira Nicole Kopchyak Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658830757
PECOS Enrollment IDI20260828002877

Medicare Billing Reassignment

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

Physical Therapist
143 SOUND BEACH AVE, SUITE 100
Old Greenwich, CT 06870
  • Reassigned Medicare billing, Connecticut enrollment
  • 109 clinicians in this Medicare group

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 3

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

Physical Therapist
5 S MAIN ST
MARLBOROUGH, CT 06447
Occupational Therapist
5 S MAIN ST
MARLBOROUGH, CT 06447
Speech-Language Pathologist
5 S MAIN ST
MARLBOROUGH, CT 06447

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 Keira Kopchyak's NPI number?

The NPI number for Keira Kopchyak is 1689502049. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Keira Kopchyak located?

Keira Kopchyak practices at 5 S Main St, Marlborough, CT 06447. The listed phone number is (860) 840-2778.

What is Keira Kopchyak's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Keira Kopchyak enrolled in Medicare?

Yes. Keira Kopchyak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keira Kopchyak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keira Kopchyak reassigns Medicare benefits to Ivyrehab Connecticut, Inc. (Old Greenwich, CT). 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 Keira Kopchyak'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 Keira Kopchyak was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.