Active NPI
Andrew McCoy
- Physical Therapist
- Rogers, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5595
- Practice address
- 3625 W Chestnut St
Rogers, AR 72756-0351 - Phone
- (479) 246-0101
- NPI assigned
- Aug 21, 2019
- Last updated
- Mar 11, 2025
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5595 | AR | Primary |
Addresses
Primary practice location
3625 W Chestnut St
Rogers, AR 72756-0351
Mailing address
701 College PL
Bentonville, AR 72712-5105
Phone (870) 271-9528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1206 N Walton Blvd
Suite 4
Bentonville, AR 72712-4108
Phone (479) 268-5757
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5595 | AR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Pinnacle Home Staging of Nwa LLC | Past | Accepting new patients | |
| Gates Therapy Group, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
1206 N Walton Blvd
Ste 4
Bentonville, AR 72712
Phone (479) 268-5757
3399 Black Forest Dr
Ste 3
Fayetteville, AR 72704
Phone (479) 340-1100
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Rogers, AR
- NPI 1427401702
Physical Therapist
-
dba PlayStrong Pediatric Therapy, Inc.
- Physical Therapy Clinic/Center
- Rogers, AR
- NPI 1720419930
Physical Therapist
-
dba Core Orthotics and Prosthetics
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1669141214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1740837061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 COLLEGE PL",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727125105",
"telephone_number": "870-271-9528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 W CHESTNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727560351",
"telephone_number": "479-246-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCOY",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-21",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "5595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.