Individual provider Active NPI

Bridget McCormack, PT

  • Physical Therapist
  • Folsom, PA
National Provider Identifier
1124056353
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT017723 Issued in PA
Practice address
521 Macdade Blvd
Folsom, PA 19033-2210
Phone
(610) 586-7000
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT017723 PA Primary

Addresses

Primary practice location

521 Macdade Blvd
Folsom, PA 19033-2210

Mailing address

419 Earlington Rd
Havertown, PA 19083-5623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070404000012 PA Practitioner - Physical Therapist in Private Practice 2264536028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upper Perk Physical Therapy and Sports Rehab, IncGroup PAC ID 8527053859, 8 clinicians

Practice addresses (Care Compare)

4 E Woodland Ave
Springfield PT and Sports Rehab. Inc
Springfield, PA 19064-2913
Phone (610) 328-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Perk Physical Therapy & Sports Rehab., Inc Physical Therapist CurrentSince Jan 14, 2025 Accepting new patients
Orthopedic Sports & Arthritis Surgery Past Accepting new patients
Southeastern Health Services of Pennsylvania, LLC Past Accepting new patients

Locations

2767 Geryville Pike
Pennsburg, PA 18073
Phone (215) 679-0105

4 E Woodland Ave
Springfield, PA 19064
Phone (610) 328-3330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124056353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 EARLINGTON RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MACDADE BLVD",
            "city": "FOLSOM",
            "state": "PA",
            "postal_code": "190332210",
            "telephone_number": "610-586-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "BRIDGET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, PA

Sources for this page

  • 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.