Christina Marie McCormick, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

407918 Issued in OR

Practice address

1305 Marshall Dr SE
Salem, OR 97302-2641

Phone

(503) 509-0346

NPI assigned

Jul 15, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Christina Marie Loesche Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1043882251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 MARSHALL DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022641",
            "telephone_number": "503-509-0346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 MARSHALL DR SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022641",
            "telephone_number": "503-509-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OR",
            "license": "407918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "LOESCHE",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Mark McCollough, DMD MS
• Kimberly Renee McCollum, PSYD
• Pamela Lynn McCollum, LCSW
• Blake McConnell, MD
• Amy McCormick
• Kelly R McCormick, MD
• Jordan D McCourry, LMT
• Jeffery Scott McCoy, PHARM. D
• Chelsey McCracken
• McCrae Management & Investments, LTD.

• Occupational Therapy Assistant in Salem, OR
• Providers in Salem, OR by specialty
• Occupational Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.