Auontwannque B. R. McCoy, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2490 Issued in SC

Practice address

3881-A Leaphart Rd.
West Columbia, SC 29169

Phone

(803) 454-6090

Fax

(803) 451-6105

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Auontwannque Jackson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Carolina Speech and Hearing, Inc.

  • Audiologist
  • West Columbia, SC
  • NPI 1376054908
  NPD (past)
• LTC Therapy Solutions LLC

  • Rehabilitation Practitioner
  • Columbia, SC
  • NPI 1497111397
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1821241415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3681 LEAPHART RD STE A",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693068",
            "telephone_number": "803-454-6090",
            "fax_number": "803-451-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3881-A LEAPHART RD.",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "803-454-6090",
            "fax_number": "803-451-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "AUONTWANNQUE",
        "middle_name": "B. R.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUONTWANNQUE",
            "last_name": "JACKSON",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberely Ann McClain, MS RDN LD
• Benjamin McClure
• Jennifer Helfers McClure, COTA
• Brandon Austin McConnell
• Kristine E. McCorquodale, M.D.
• Stephanie L McCravy, NP
• Amy Mobley McCraw, DPT
• Kathryn McCrudden, PT
• Cynthia Leigh McDonald, LMSW
• Nichole Price McDonald, MD

• Occupational Therapy Assistant in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Occupational Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.