Active NPI
Larry Edward McCoy, OTR
- Occupational Therapist
- Elkhorn City, KY
National Provider Identifier
1497960611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- R2027
- Practice address
- 945 W Russell St
Elkhorn City, KY 41522-7071 - Phone
- (606) 754-4134
- Fax
- (606) 754-5704
- NPI assigned
- May 11, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | R2027 | KY | Primary |
Addresses
Primary practice location
945 W Russell St
Elkhorn City, KY 41522-7071
Mailing address
19 Windward LN
Pikeville, KY 41501-3318
Phone (606) 754-4134
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
| License | State | Type | Specialty |
|---|---|---|---|
| R2027 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497960611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 WINDWARD LN",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013318",
"telephone_number": "606-754-4134",
"fax_number": "606-754-5704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W RUSSELL ST",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "415227071",
"telephone_number": "606-754-4134",
"fax_number": "606-754-5704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "LARRY",
"middle_name": "EDWARD",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "R2027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn City, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.