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

Dr. Ethan McCoy, DPT

Individual provider Physical Therapist · NPI 1366979387

Dr. Ethan McCoy, DPT is a Physical Therapist in Private Practice in Overland Park, Kansas. Qualified in 2017, 9 years ago. Registered with an NPI since 2017.

Years since qualifying
9
In the registry since
2017
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

7279 W 105th St
Overland Park, KS 66212-2515
Phone: (913) 642-7746
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1366979387
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 22, 2017
Last updated in NPPESMay 22, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated

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