Eileen Karen McCormick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8152 Issued in MA

Practice address

25 Adams Rd
Williamstown, MA 01267-2928

Phone

(413) 458-2111

NPI assigned

Aug 12, 2007

Last updated

Aug 12, 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1186876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186876800000",
    "number": "1053503292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 INGALLS RD",
            "city": "CHESHIRE",
            "state": "MA",
            "postal_code": "012259731",
            "telephone_number": "413-743-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ADAMS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672928",
            "telephone_number": "413-458-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "EILEEN",
        "middle_name": "KAREN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-12",
        "last_updated": "2007-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "8152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Crabbs Macdonald, M.S., CCC
• Jillian Lee Macdonald, DPT
• Marian Madden, M.D.
• Dana Maddox, MS, CCC-SLP
• Gerald Makowski
• Roy A McKee, LICSW
• Sarah T McNamara, MA LMHC
• Nicole Methot, LMT, NCBTMB
• Audrey Mitchell, COTA
• Edwin E Mohler, M.D.

• Physical Therapy Assistant in Williamstown, MA
• Providers in Williamstown, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2007; 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.