Jennifer M McCormick, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119001129 Issued in VA

Practice address

24689 Kings Canyon SQ
Stone Ridge, VA 20105-2988

Phone

(703) 327-9458

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1144467622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24689 KINGS CANYON SQ",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201052988",
            "telephone_number": "703-963-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24689 KINGS CANYON SQ",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201052988",
            "telephone_number": "703-327-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "VA",
            "license": "0119001129",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119001129",
            "primary": true
        },
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Kahn, LCSW
• Mi Kim
• Michael Kim, OD
• Erin Kathren Long, P.T., D.P.T
• Gayatri Sneh Mantha, PSYD
• Susan McCarty McCormick, MS, LMFT
• Med Urgent Care LLC
• Susanna Kay Meyer, PHARMD
• Chris Moon, PT
• Myeyedr Optometry of Virginia, PLLC

• Occupational Therapist in Stone Ridge, VA
• Providers in Stone Ridge, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.