Individual provider Active NPI

Edith Elizabeth McCoy, ODT, OTR/L, CLT

  • Occupational Therapist
  • Palm Coast, FL
National Provider Identifier
1255512257
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1549 Issued in FL
Practice address
35 Old Kings Rd N
Palm Coast, FL 32137
Phone
(389) 445-5555
Fax
(389) 445-9800
NPI assigned
Nov 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1549 FL Primary

Addresses

Primary practice location

35 Old Kings Rd N
Palm Coast, FL 32137

Mailing address

35 Old Kings Rd N
Palm Coast, FL 32137-8227
Phone (389) 445-5555

Other identifiers 1

IdentifierTypeStateIssuer
10-6943OtherFLMEDICARE

Other names 1

  • Dr. Edith Elizabeth McCoy Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1549FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rural Therapy Services of Florida Inc Current Accepting new patients
Palm Coast Sports Medicine and Rehab Occupational Therapist Current Accepting new patients

Locations

35 Old Kings Rd N
Palm Coast, FL 32137
Phone (386) 445-5555

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": "1195430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1255512257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378227",
            "telephone_number": "389-445-5555",
            "fax_number": "389-445-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 OLD KINGS RD N",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "32137",
            "telephone_number": "389-445-5555",
            "fax_number": "389-445-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "EDITH",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "ODT, OTR/L, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-19",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "1549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "10-6943",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "MCCOY",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "ODT, OTR/L, CLT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; 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.