Christopher J McCoy, PTA

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5030 Issued in NC

Practice address

103 Gossman Rd
Southern Pines, NC 28387-2225

Phone

(910) 692-7293

NPI assigned

Apr 13, 2013

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365811200000",
    "number": "1700229341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CHURCHILL DOWNS DR",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283153663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GOSSMAN RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872225",
            "telephone_number": "910-692-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-13",
        "last_updated": "2013-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "5030",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "23158",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Denise McCall, OTA
• Hattie Danielle McCall, PA-C
• Jennifer Marie McCall, PA-C
• Kasey Michelle McCann, PTA
• Mary Kay McClure, PTA
• Megan McDonnell, PSYD
• Madeline Elaine McDonough, M.ED, BCBA
• Daceya McDuffie
• McGowan Counseling Services, P. a.
• Barbara C McGowan, LCSW

• Skilled Nursing Facility in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2013; 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.