Faith McCormack, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0000006956 Issued in TN

Practice address

9754 Pine Point Dr
Lakeland, TN 38002-8402

Phone

(901) 382-5052

Fax

(901) 382-5052

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Venice Physical Therapy and Sports Medicine IncGroup PAC ID 5890100127, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Venice Physical Therapy and Sports Medicine Inc

  • Physical Therapy Clinic/Center
  • Venice, FL
  • NPI 1891393138
  Medicare reassignment Care Compare group NPD
• Rick Haupt Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Sarasota, FL
  • NPI 1508134586

  Physical Therapist

  Medicare reassignment NPD
• Progressive Rehabilitation Agency, Inc.

  • Rehabilitation Clinic/Center
  • Sarasota, FL
  • NPI 1124142799
  NPD (past)
• Therapeutic Potentials, Inc

  • Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1013135169

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053433771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9754 PINE POINT DR",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028402",
            "telephone_number": "901-382-5052",
            "fax_number": "901-382-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9754 PINE POINT DR",
            "city": "LAKELAND",
            "state": "TN",
            "postal_code": "380028402",
            "telephone_number": "901-382-5052",
            "fax_number": "901-382-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "FAITH",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "0000006956",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3688",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "005527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letonyia Love, NP
• Olivia Luther, RD, M.S
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• Makarios Group 5, Inc (New Life Testosterone Clinic)
• Adrian Mamikonian, M.A., CCC-SLP
• Rebecca McFarland, PHARM.D.
• Memphis Dentures and Implants PLLC
• Olivia Lee Merryman, FNP-C
• Metro Transportation Service
• Metro Transportation Service Inc.

• Physical Therapist in Lakeland, TN
• Providers in Lakeland, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.