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

Individual provider Occupational Therapist · NPI 1700858826

Mrs. Kelly Marie McCoy, OT is an Occupational Therapist in Private Practice in Gulfport, Mississippi. Qualified in 2005, 21 years ago. Practices with Ideal Physical Therapy of Texas LLC, a 360-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
21
Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

15476 Dedeaux Rd Ste B
Gulfport, MS 39503
Phone: (228) 679-3001
Fax: (228) 679-3039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence OT3034 (MS)

Record details

NPI number1700858826
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedFebruary 2, 2006
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ideal Physical Therapy Of Texas Llc — 360 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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