Christine McCoy, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017822 Issued in IL

Practice address

1251 N State St
Jerseyville, IL 62052-1169

Phone

(618) 498-6441

NPI assigned

Jul 11, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1609801406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 PIEDMONT CIR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633045688",
            "telephone_number": "314-591-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 N STATE ST",
            "city": "JERSEYVILLE",
            "state": "IL",
            "postal_code": "620521169",
            "telephone_number": "618-498-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CHRISTINE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2000144174",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Maple-Colley, LCSW
• Stephanie Marshall, BCBA
• Patrick Masching, MD
• Lauren McCarthy, DPM
• Brandy McCoy
• Melissa H McKennon
• Abby Marie Medford, PA-C
• Medical Associates of Jerseyville, LTD.
• Alexis Medovich
• Steven Lee Meredith, RPH

• Physical Therapist in Jerseyville, IL
• Providers in Jerseyville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.