Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charminade McCoy, PTA

Individual provider Physical Therapy Assistant · NPI 1619330081

Charminade McCoy, PTA is a Physical Therapy Assistant in Crestline, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1060 Playground Rd
Crestline, CA 92325
Phone: (573) 330-5261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence AT3151 (CA)

Record details

NPI number1619330081
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedApril 1, 2016
Last updated in NPPESApril 1, 2016
Mailing addressPo Box 2061, Crestline, CA 92325-2061