Karletta Heather May McCoy, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP014759T Issued in VA

Practice address

209 N Madison Rd
Orange, VA 22960

Phone

(540) 672-2708

NPI assigned

Jun 18, 2018

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ivyrehab Sept, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1982657433
  NPD
• Ivyrehab Sept, LLC

  • Physical Medicine & Rehabilitation Physician
  • Verona, VA
  • NPI 1235955709

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1821582404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MADISON RD",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "22960",
            "telephone_number": "540-672-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Roundtree Dr",
            "address_purpose": "LOCATION",
            "city": "Piedmont",
            "state": "AL",
            "postal_code": "362725892",
            "country_code": "US",
            "telephone_number": "256-447-8258",
            "fax_number": "256-447-8230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 Old Orchard Sq",
            "address_purpose": "LOCATION",
            "city": "East Ellijay",
            "state": "GA",
            "postal_code": "305408172",
            "country_code": "US",
            "telephone_number": "706-273-3131",
            "fax_number": "706-273-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "KARLETTA",
        "middle_name": "HEATHER MAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2022-09-02",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012572",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8775",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "CP014759T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA DRIVER'S LICENSE",
            "identifier": "052129844",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Leonard
• Clare Lillard
• Anthony Leon Marino, M.D.
• Kassidy Lynn Martorano, PT, DPT
• Anna T. McCary, FNP-C
• Rachel McGhee
• Randolph V Merrick, M.D.
• Monarch Journey Counseling LLC
• Myeyedr Optometry of Virginia, PLLC (MyEyeDr.)
• Joseph Nagel, PH.D

• Physical Therapist in Orange, VA
• Providers in Orange, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.