OLD DOMINION UNIVERSITY
NPI 1871929729
Physical Therapist in Norfolk, VA
About Old Dominion University NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD DOMINION UNIVERSITY (NPI 1871929729), doing business as Odu Monarch Physical Therapy, is a healthcare organization registered as a physical therapist in Norfolk, Virginia and active in the NPI registry since September 2013. The organization lists Lisa R Koperna, Clinic Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
- 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.
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Old Dominion University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
18Medicare enrollment records show 18 clinicians reassign Medicare billing to Old Dominion University, which bills Medicare for the services they deliver. Of these, 15 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (18)
Norfolk, VA 23505
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Old Dominion University's NPI number?
The NPI number for Old Dominion University is 1871929729. It was assigned to this organization in the NPPES registry on September 24, 2013. The provider is doing business as ODU Monarch Physical Therapy.
Where is Old Dominion University located?
Old Dominion University is located at 1019 W 41st St, Norfolk, VA 23529. The listed phone number is (757) 683-7041.
What is Old Dominion University's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Old Dominion University enrolled in Medicare?
Yes. Old Dominion University is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Old Dominion University?
According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 3 Medicare specialties reassign their Medicare billing to Old Dominion University. A 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 the clinician's services. The largest specialties are Physical Therapist in Private Practice (16), Occupational Therapist in Private Practice (1) and Qualified Speech Language Pathologist (1). Of these, 15 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Old Dominion University was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Old Dominion University · NPI 1871929729
Physical Therapist organization in Norfolk, Virginia. Organization record, active in the CMS NPPES registry since September 24, 2013.
## Identity
- **NPI:** 1871929729 (Entity type: Organization)
- **Enumerated:** September 24, 2013
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Also known as:** ODU Monarch Physical Therapy (Doing Business As)
- **Organization subpart:** Yes (part of Old Dominion University)
- **Authorized official:** Lisa Koperna, CLINIC DIRECTOR
## Practice location
- **Address:** 1019 W 41ST ST, Norfolk, VA 23529-0001
- **Phone:** (757) 683-7041 · **Fax:** (757) 683-4410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 18 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (16), Occupational Therapist in Private Practice (1), Qualified Speech Language Pathologist (1); 15 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1871929729) · Data from the CMS NPPES public registry.