ANDREW T MCCOY (DPT) – Physical Therapist, NPI 1225874712

ANDREW T MCCOY (DPT) is a healthcare provider. based in Everett, Washington. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT61578390 (WA). The NPI Number for ANDREW T MCCOY (DPT) is 1225874712

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW T MCCOY (DPT)
NPI
1225874712
Phone
(425) 225-5865
Address
10821 19TH AVE SE STE 102
Enumeration Date
3 July 2024
Last Update Date
3 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4252255865
Graduation Year
2024 (2 years ago)
PAC ID
8628514189
Group Practice PAC ID
5890029755
Professional Enrollment ID
I20240722001267
Address ID
WA982085103EV10821SEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,542 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WA

Provider Addresses for ANDREW T MCCOY (DPT)

  • 10821 19TH AVE SE STE 102

    EVERETT, WA 982085103

    Phone: (425) 225-5865

    Fax: (509) 808-2164

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-07-22

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240722001267IPhysical Therapist In Private PracticeWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98208)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890029755View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeWA

Reviews

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Frequently asked questions

Does ANDREW T MCCOY (DPT) have a public NPI I can cite?
Public records show ANDREW T MCCOY (DPT) under NPI 1225874712.
Quick check: is ANDREW T MCCOY (DPT) active?
Public NPPES data shows ANDREW T MCCOY (DPT) with an active NPI status right now.
Which specialty label fits ANDREW T MCCOY (DPT)?
NPPES ties ANDREW T MCCOY (DPT) to Physical Therapist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to ANDREW T MCCOY (DPT)?
The directory associates ANDREW T MCCOY (DPT) with Everett, Washington. Check all listed addresses for suites or satellite offices.
Why is information missing for ANDREW T MCCOY (DPT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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