Connor James McCormick, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29347 Issued in MD

Practice address

4337 Ebenezer Rd
Nottingham, MD 21236-2143

Phone

(410) 529-3303

Fax

(410) 529-7980

NPI assigned

Mar 2, 2023

Sex

Male

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

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.

• Pro Staff Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Nutley, NJ
  • NPI 1265750871

  Physical Therapist

  NPD

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1154020782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-3303",
            "fax_number": "410-529-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4337 EBENEZER RD",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212362143",
            "telephone_number": "410-529-3303",
            "fax_number": "410-529-7980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CONNOR",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron McCauley
• Nathan Dixon McClain
• McClary Counseling, LLC
• Allan Bruce McClary, LCSW, CCM
• Christine McCloud
• Shana McGehee, LCSW-C
• Leslie June McJilton, PA-C
• Amanda Bush McKinney
• Carla McWilliams, LGPC
• MD Diagnostics, LLC

• Physical Therapist in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.