MEDICARE: MAKAELA MCCOY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	218155

General Provider Information

NPI Number	:	1649139361
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAKAELA MCCOY

Provider Business Mailing Address
First Line	:	5220 SPRING VALLEY RD STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-1944
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5220 SPRING VALLEY RD STE 300
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75254-1944
Country	:	US
Telephone Number	:	469-291-8500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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Directions to “ MAKAELA MCCOY ” Practice Location

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