Individual provider Active NPI

Candice McCoy, PT, DPT, NCS

  • Physical Therapist
  • Bossier City, LA
National Provider Identifier
1508465626
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP051025T Issued in LA
Practice address
700 Stockwell Rd Ste 400
Bossier City, LA 71111-7027
Phone
(318) 222-8892
Fax
(318) 222-8893
NPI assigned
Oct 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 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 CP051025T LA Primary
Physical Therapist 225100000X 4446 NE
Physical Therapist 225100000X 2020033689 MO

Addresses

Primary practice location

700 Stockwell Rd Ste 400
Bossier City, LA 71111-7027

Mailing address

663 Jordan St
Shreveport, LA 71101-4748
Phone (318) 222-8892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201116001005 MO Practitioner - Physical Therapist in Private Practice 8628489036 Reassigns benefits to 1 organization
I20251219000061 LA Practitioner - Physical Therapist in Private Practice 8628489036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brewer Physical Therapy and Associates LLCGroup PAC ID 9931275419, 18 clinicians

Practice addresses (Care Compare)

700 Stockwell Rd
Suite 400
Bossier City, LA 71111-7027
Phone (318) 222-8889

Merit-based Incentive Payment System (MIPS)

Final score
61.16 of 100Reported as group
Quality
62.36
Improvement activities
40
Cost
39.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP051025TLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Boost Sports Performance, LLC CurrentSince Nov 1, 2020 Accepting new patients
Brewer Physical Therapy & Associates LLC CurrentSince Dec 1, 2025 Accepting new patients
Select Physical Therapy Texas Limited Partnership PastSince Dec 7, 2025 Accepting new patients

Locations

700 Stockwell Rd
Ste 400
Bossier City, LA 71111
Phone (318) 747-2911

663 Jordan St
Shreveport, LA 71101
Phone (318) 222-8892

17011 Bel Ray Blvd
Belton, MO 64012
Phone (816) 425-4523

3801 Selsa Rd
Ste 7
Independence, MO 64057
Phone (816) 795-0434

2861 NE Independence Ave
Ste 104
Lees Summit, MO 64064
Phone (816) 272-8538

2105 Kara Ct
Ste 1-A
Liberty, MO 64068
Phone (816) 407-1249

312 E Young Ave
Warrensburg, MO 64093

470 Johnson Rd
Ste 100
Washington, PA 15301

Organizations & group practices 3

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1508465626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 JORDAN ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014748",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STOCKWELL RD STE 400",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711117027",
            "telephone_number": "318-222-8892",
            "fax_number": "318-222-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CANDICE",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-20",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "CP051025T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4446",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2020033689",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.