Individual provider Active NPI

Quinn Kathryn McCoy, PT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1093852220
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1794 Issued in SD
Practice address
1635 Caregiver Cir
Rapid City, SD 57702-8529
Phone
(605) 755-1100
Fax
(605) 755-1116
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2036PT MT
Physical Therapist 225100000X 1794 SD Primary

Addresses

Primary practice location

1635 Caregiver Cir
Rapid City, SD 57702-8529

Mailing address

1136 Paisley Ter
Sturgis, SD 57785-2008
Phone (719) 510-8668

Other practice location 1

520 N Canyon St
Spearfish, SD 57783-2320
Phone (605) 642-7996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2036PTMTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Matson Therapy, LLC Physical Therapist PastSince Apr 5, 2021 Accepting new patients
Valley Physical Therapy, PLLC Physical Therapist PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1093852220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 PAISLEY TER",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577852008",
            "telephone_number": "719-510-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CAREGIVER CIR",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577028529",
            "telephone_number": "605-755-1100",
            "fax_number": "605-755-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 N Canyon St",
            "address_purpose": "LOCATION",
            "city": "Spearfish",
            "state": "SD",
            "postal_code": "577832320",
            "country_code": "US",
            "telephone_number": "605-642-7996",
            "fax_number": "605-642-5955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "QUINN",
        "middle_name": "KATHRYN",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2036PT",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "1794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.