Active NPI
Grace McCormick, DPT
- Physical Therapist
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 18767
- Practice address
- 3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630 - Phone
- (719) 265-6601
- Fax
- (719) 265-6649
- NPI assigned
- Nov 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25278 | MA | |
| Physical Therapist | 225100000X | 18767 | CO | Primary |
| Physical Therapist | 225100000X | 070026586 | IL |
Addresses
Primary practice location
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Mailing address
3605 Austin Bluffs Pkwy
Colorado Springs, CO 80918-6630
Phone (719) 265-6601
Other practice location 1
362 Belmont St
Brockton, MA 02301-4950
Phone (508) 584-7711
Other practice location 2
1980 2nd St
Highland Park, IL 60035-3116
Phone (847) 681-8720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
362 Belmont St
Brockton, MA 02301-4950
Phone (508) 584-6624
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.68 of 100
- Quality
- 96.09
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay State Physical Therapy of Randolph Inc | Current | Accepting new patients | |
| Bay State Physical Therapy of Randolph Inc | Physical Therapist | Current | Accepting new patients |
Locations
1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525
362 Belmont St
Brockton, MA 02301
Phone (508) 584-6622
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1054 County St
Somerset, MA 02726
Phone (508) 674-3340
Interoperability endpoints
- grace.mccormick.p9@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fall River, MA
- NPI 1164474334
-
- Chiropractor
- Quincy, MA
- NPI 1316507627
-
- Physical Therapist
- Franklin, MA
- NPI 1821108549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1104427103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3605 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186630",
"telephone_number": "719-265-6601",
"fax_number": "719-265-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3605 AUSTIN BLUFFS PKWY",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809186630",
"telephone_number": "719-265-6601",
"fax_number": "719-265-6649"
}
],
"practiceLocations": [
{
"address_1": "362 Belmont St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023014950",
"country_code": "US",
"telephone_number": "508-584-7711",
"fax_number": "508-584-7744",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1980 2nd St",
"address_purpose": "LOCATION",
"city": "Highland Park",
"state": "IL",
"postal_code": "600353116",
"country_code": "US",
"telephone_number": "847-681-8720",
"fax_number": "847-681-9020",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "GRACE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-05",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "25278",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "18767",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026586",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.