Individual provider Active NPI

Caroline Deanne McKoy, PT, DPT

  • Physical Therapist
  • Naples, FL
National Provider Identifier
1386328599
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1377854 Issued in TX
Practice address
12250 Tamiami TRL E Ste 102
Naples, FL 34113-8108
Phone
(239) 417-0027
NPI assigned
Jun 9, 2023
Last updated
Jun 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1377854 TX Primary

Addresses

Primary practice location

12250 Tamiami TRL E Ste 102
Naples, FL 34113-8108

Mailing address

3572 Boone Park Ave
Jacksonville, FL 32205-8433
Phone (706) 339-1616

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
1377854TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist CurrentSince Jun 11, 2023 Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Fyzbiz, LLC Physical Therapist PastSince Jun 11, 2023 Accepting new patients
Effingham Rehab Services, LLC Physical Therapist Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients
Effingham Rehab Services, LLC Past Accepting new patients

Locations

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1386328599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3572 BOONE PARK AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058433",
            "telephone_number": "706-339-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 TAMIAMI TRL E STE 102",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341138108",
            "telephone_number": "239-417-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOY",
        "first_name": "CAROLINE",
        "middle_name": "DEANNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1377854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.