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

Jenilee McCoy, PTA

Individual provider Physical Therapy Assistant · NPI 1356108328

Jenilee McCoy, PTA is a Physical Therapy Assistant in San Bernardino, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

301 E Vanderbilt Way Ste 100
San Bernardino, CA 92408-3556
Phone: (909) 567-2661
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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

Record details

NPI number1356108328
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

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