Active NPI
Steven Joseph McCormack, DPT
- Physical Therapist
- Palmetto, FL
National Provider Identifier
1043856602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39846
- Practice address
- 6439 Milestone Loop
Palmetto, FL 34221-3971 - Phone
- (401) 568-8215
- NPI assigned
- Nov 19, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 24669 | MA | |
| Physical Therapist | 225100000X | 39846 | FL | Primary |
Addresses
Primary practice location
6439 Milestone Loop
Palmetto, FL 34221-3971
Mailing address
6439 Milestone Loop
Palmetto, FL 34221-3971
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39846 | FL | MD | Physical Therapist |
| 24669 | MA | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755302400000",
"number": "1043856602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6439 MILESTONE LOOP",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342213971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6439 MILESTONE LOOP",
"city": "PALMETTO",
"state": "FL",
"postal_code": "342213971",
"telephone_number": "401-568-8215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "STEVEN",
"middle_name": "JOSEPH",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-19",
"last_updated": "2025-08-16",
"certification_date": "2025-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MA",
"license": "24669",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "39846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.