Stephanie Ann McCoy, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1384 Issued in AK

Practice address

7335 E. Palmer-Wasilla Hwy
Suite 1C
Palmer, AK 99645

Phone

(907) 746-7300

Fax

(907) 746-7302

NPI assigned

Jun 5, 2008

Last updated

Jun 5, 2008By 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 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simar Physical Therapy Services, LLC

  • Physical Therapy Clinic/Center
  • Palmer, AK
  • NPI 1821254814
  NPD (past)

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1912166851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 877783",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996877783",
            "telephone_number": "907-357-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 E. PALMER-WASILLA HWY",
            "address_2": "SUITE 1C",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "99645",
            "telephone_number": "907-746-7300",
            "fax_number": "907-746-7302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AK",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Mayer, LPC
• Kelly Margaret McBride
• Liza Tulio McCafferty, M.S.
• Seamus R McCann
• Nicolas Mario McCaslin
• Hannah C McDaniel
• Madison M McDaniel
• Mari A McDaniel
• Maria C. McDaniel
• Stewart Ivan McDonald

• Physical Therapy Assistant in Palmer, AK
• Providers in Palmer, AK by specialty
• Physical Therapy Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.