Kara McCormick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

24384 Issued in MA

Practice address

29 Crafts St Ste 570
Newton, MA 02458-1282

Phone

(617) 726-2961

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

No

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.

• Boston Health & Wellness, LLC

  • Physical Therapist
  • Stoneham, MA
  • NPI 1033738489

  MA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Gordon Physical Therapy LLC

  • Physical Therapist
  • North Andover, MA
  • NPI 1093235616

  MA, Physical Therapist

  Medicare reassignment Care Compare group NPD

Specialty

Physical Therapist in Private Practice

Education

Boston University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boston Health and Wellness LLC 9 clinicians

Gordon Physical Therapy LLC 3 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 29, 2020.

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593388800000",
    "number": "1104474543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY FL 3",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023684633",
            "telephone_number": "781-961-3370",
            "fax_number": "781-961-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 CRAFTS ST STE 570",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024581282",
            "telephone_number": "617-726-2961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Randolph",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Randolph",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Randolph",
            "address_1": "29 Crafts St Ste 570",
            "city": "Newton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "024581282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James E McCauley, MSW
• Kelsey Rose McCauley
• Lanajean McCloy, PSY.D.
• Hayley McConnell
• Jason McCormick, PSY.D
• Nisia McCormick
• Ainsley McCowan, M.D.
• Sarah Barrett McCoy
• Timothy Ryan McCrohan
• Michelle McCrum

• All providers in Newton, MA
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.