Individual provider Active NPI

Scott A McCoy, OT

  • Hand Occupational Therapist
  • Goodyear, AZ
National Provider Identifier
1467455402
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0250 Issued in AZ
Practice address
3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804
Phone
(623) 935-5505
Fax
(623) 935-5551
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0250 AZ Primary

Addresses

Primary practice location

3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804

Mailing address

3050 N Litchfield Rd
Suite 100
Goodyear, AZ 85395-7804
Phone (623) 935-5505

Other identifiers 1

IdentifierTypeStateIssuer
158049MedicaidAZ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040521001151 AZ Practitioner - Occupational Therapist in Private Practice 3375534811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roc Physical Therapy, PLLCGroup PAC ID 6204195316, 5 clinicians

Practice addresses (Care Compare)

5656 S Power Rd
Suite 139
Gilbert, AZ 85295-8490
Phone (480) 272-7797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0250AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
DHT Hand Therapy Limited Partnership Occupational Therapist CurrentSince Jan 4, 2021 Accepting new patients
DHT Hand Therapy Limited Partnership Occupational Therapist Current Accepting new patients
Figueroa Physical Therapy CurrentSince Mar 1, 2004 Accepting new patients
Arenson Wasserbeck LLC Past Accepting new patients
Recovia LLC Past Accepting new patients

Locations

10320 W McDowell Rd
Ste N1447
Avondale, AZ 85392
Phone (623) 907-4400

6213 S Miller Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 386-2660

8811 N 51st Ave
Ste 102
Glendale, AZ 85302
Phone (623) 915-2726

5757 W Thunderbird Rd
Ste E465
Glendale, AZ 85306
Phone (602) 393-4263

3050 N Litchfield Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 935-0626

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

300 W Clarendon Ave
Ste 285
Phoenix, AZ 85013
Phone (602) 277-3686

1860 N 95th Ln
Ste 105
Phoenix, AZ 85037
Phone (623) 907-0828

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1467455402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 N LITCHFIELD RD",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957804",
            "telephone_number": "623-935-5505",
            "fax_number": "623-935-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 N LITCHFIELD RD",
            "address_2": "SUITE 100",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957804",
            "telephone_number": "623-935-5505",
            "fax_number": "623-935-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "SCOTT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AZ",
            "license": "0250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158049",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.