Jerry Walter Coy, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-05220 Issued in AZ

Practice address

44400 W Honeycutt Rd
Ste 101
Maricopa, AZ 85138-2944

Phone

(602) 770-0263

NPI assigned

Jul 11, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1043575301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44640 W YUCCA LN",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851384036",
            "telephone_number": "602-770-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44400 W HONEYCUTT RD",
            "address_2": "STE 101",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851382944",
            "telephone_number": "602-770-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "JERRY",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "AZ",
            "license": "MT-05220",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-05220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Wagner Cope, OD
• Ronald H Cope, OD
• Amy Coppinger
• Lucianna Paola Cordeiro Araujo, MD
• Amandarose Mary Cota
• Dallas Crawford, BSN, RN
• Maryann Craze, LMT MMP
• Charles W Creely
• Fabian Cruz Martinez
• Maria Cumplido, NMD

• Massage Therapist in Maricopa, AZ
• Providers in Maricopa, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.