Active NPI
David F McCoy, PT
- Physical Therapist
- Glendale, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12696
- Practice address
- 4655 N Port Washington Rd
Glendale, WI 53212-1004 - Phone
- (414) 332-7475
- NPI assigned
- Oct 7, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12696 | WI | Primary |
Addresses
Primary practice location
4655 N Port Washington Rd
Glendale, WI 53212-1004
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
6255 N Santa Monica Blvd
Whitefish Bay, WI 53217-4353
Phone (414) 967-8256
Other practice location 2
945 N 12th St
Milwaukee, WI 53233-1305
Phone (414) 219-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891245478 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dmccoy118723@direct.myadvocateaurora.org | ||
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12696 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients |
Locations
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
4655 N Port Washington Rd
Milwaukee, WI 53212
Phone (414) 247-9530
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Summit, WI
- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737849600000",
"number": "1891245478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4655 N PORT WASHINGTON RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532121004",
"telephone_number": "414-332-7475"
}
],
"practiceLocations": [
{
"address_1": "6255 N Santa Monica Blvd",
"address_purpose": "LOCATION",
"city": "Whitefish Bay",
"state": "WI",
"postal_code": "532174353",
"country_code": "US",
"telephone_number": "414-967-8256",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "945 N 12th St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532331305",
"country_code": "US",
"telephone_number": "414-219-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "DAVID",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-07",
"last_updated": "2025-01-26",
"certification_date": "2025-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "12696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1891245478",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dmccoy118723@direct.myadvocateaurora.org",
"affiliation": "N",
"address_1": "945 N 12th St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532331305",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "945 N 12th St",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532331305",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.