Individual provider Active NPI

Sydney Michelle McCoy, DPT, PT

  • Physical Therapist
  • Black Mountain, NC
National Provider Identifier
1295611978
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL88990 Issued in MA
Practice address
109 WNC Shopping Ctr
Black Mountain, NC 28711-2532
Phone
(828) 357-9050
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT021977 OH
Physical Therapist 225100000X CP059595T NC
Physical Therapist 225100000X PTL88990 MA Primary

Addresses

Primary practice location

109 WNC Shopping Ctr
Black Mountain, NC 28711-2532

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211

Other practice location 1

80 Charlotte St Ste 50
Asheville, NC 28801-2434
Phone (828) 785-1412

Other practice location 2

19 Westridge Market Pl Ste 50
Candler, NC 28715-9174
Phone (828) 633-6287

Other practice location 3

59 Weaver Village Way Ste 50
Weaverville, NC 28787-9492
Phone (828) 484-9415

Other practice location 4

1356 Charlotte Hwy
Fairview, NC 28730-8798
Phone (828) 338-0707

Other practice location 5

68 Crossroad Hill Rd
Canton, NC 28716-3703
Phone (828) 492-1480

Other practice location 6

1870 Brevard Rd Ste 115
Arden, NC 28704-9647
Phone (828) 203-2603

Other practice location 7

328 New Leicester Hwy Ste 150
Asheville, NC 28806-2018
Phone (828) 412-5120

Other practice location 8

33 Valley View Ter Ste 50
Waynesville, NC 28786-4548
Phone (828) 246-6566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250907000182 MA Practitioner - Physical Therapist in Private Practice 0244732469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Rehabilitation of Western New England LLCGroup PAC ID 7911979950, 201 clinicians

Practice addresses (Care Compare)

340 Great Rd
Acton, MA 01720-4020
Phone (978) 287-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL88990MAMDPhysical Therapist
PT021977OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Southeastern Physical Therapy, LLC Physical Therapist PastSince May 21, 2019 Accepting new patients
Carl Gustafson LLC Physical Therapist Past Accepting new patients
Charles J. Depaolo, M.D, P.a. Past Accepting new patients

Locations

33377 Collection Ctr Dr
Chicago, IL 60693
Phone (617) 284-9418

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

340 Great Rd
Acton, MA 01720
Phone (978) 287-6170

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8462/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1295611978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 WNC SHOPPING CTR",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287112532",
            "telephone_number": "828-357-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Charlotte St Ste 50",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288012434",
            "country_code": "US",
            "telephone_number": "828-785-1412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Westridge Market Pl Ste 50",
            "address_purpose": "LOCATION",
            "city": "Candler",
            "state": "NC",
            "postal_code": "287159174",
            "country_code": "US",
            "telephone_number": "828-633-6287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Weaver Village Way Ste 50",
            "address_purpose": "LOCATION",
            "city": "Weaverville",
            "state": "NC",
            "postal_code": "287879492",
            "country_code": "US",
            "telephone_number": "828-484-9415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1356 Charlotte Hwy",
            "address_purpose": "LOCATION",
            "city": "Fairview",
            "state": "NC",
            "postal_code": "287308798",
            "country_code": "US",
            "telephone_number": "828-338-0707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 Crossroad Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "NC",
            "postal_code": "287163703",
            "country_code": "US",
            "telephone_number": "828-492-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1870 Brevard Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Arden",
            "state": "NC",
            "postal_code": "287049647",
            "country_code": "US",
            "telephone_number": "828-203-2603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "328 New Leicester Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062018",
            "country_code": "US",
            "telephone_number": "828-412-5120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Valley View Ter Ste 50",
            "address_purpose": "LOCATION",
            "city": "Waynesville",
            "state": "NC",
            "postal_code": "287864548",
            "country_code": "US",
            "telephone_number": "828-246-6566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SYDNEY",
        "middle_name": "MICHELLE",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT021977",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP059595T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Black Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.