Melissa N McCormick, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7367 Issued in AZ

Practice address

7707 W Deer Valley Rd
Suite 105
Peoria, AZ 85382-2101

Phone

(623) 376-9100

Fax

(623) 376-9100

NPI assigned

Nov 16, 2006

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)

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 and National Provider Directory roles.

• Northwest Orthopedic & Sports Physical Therapy LLC

  • Orthopedic Physical Therapist
  • Sun City West, AZ
  • NPI 1073610440
  NPD
• Arizona Infusion Centers LLC

  • Neurology Physician
  • Phoenix, AZ
  • NPI 1184351298
  NPD (past)
• Foothills Sports Medicine & Rehabilitation, LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1073224267
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1114090495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12945 W CRITTENDEN LN",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926686",
            "telephone_number": "623-376-9100",
            "fax_number": "623-376-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 W DEER VALLEY RD",
            "address_2": "SUITE 105",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822101",
            "telephone_number": "623-376-9100",
            "fax_number": "623-376-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "MELISSA",
        "middle_name": "N",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laressa E McCloyn
• Marci McClure, LMHC
• Michelle McClure, DMD
• Gregory Paul McClurg, NP-C
• McCormicare Speech Therapy, Inc
• Jordana Elizabeth McCracken, RN
• June H McCulley
• Charles F McCune
• Peter McCunniff, MD
• Holly McDonald

• Physical Therapist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.