Active NPI
Lisa Ann McCoy, P.T.
- Specialist
- Columbia, MO
National Provider Identifier
1710952361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 01577
- Practice address
- 315 Business Loop 70 W
Columbia, MO 65203-3248 - Phone
- (573) 817-4760
- Fax
- (573) 817-4699
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 01577 | MO | Primary |
Addresses
Primary practice location
315 Business Loop 70 W
Columbia, MO 65203-3248
Mailing address
309 Devine CT
Columbia, MO 65203-0217
Phone (573) 446-0138
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 |
|---|---|---|---|
| 01577 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710952361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 DEVINE CT",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652030217",
"telephone_number": "573-446-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 BUSINESS LOOP 70 W",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652033248",
"telephone_number": "573-817-4760",
"fax_number": "573-817-4699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "01577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.