Individual provider Active NPI

Steven Howard McCormack, MS PT

  • Physical Therapist
  • West Hills, CA
National Provider Identifier
1164458709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12477 Issued in CA
Practice address
7656 Sausalito Ave
West Hills, CA 91304-5416
Phone
(818) 618-4610
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

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 12477 CA Primary

Addresses

Primary practice location

7656 Sausalito Ave
West Hills, CA 91304-5416

Mailing address

7656 Sausalito Ave
West Hills, CA 91304-5416
Phone (818) 618-4610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Rehab. Inc Physical Therapist Past Accepting new patients
Rolandheights Care Medical Center Past Accepting new patients
Koa Rehab & Physical Therapy Center, Inc Physical Therapist PastSince Mar 20, 2007 Accepting new patients
Sonshine Rehab & Physical Therapy Center, a Professional Corporation Physical Therapist Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164458709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7656 SAUSALITO AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913045416",
            "telephone_number": "818-618-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7656 SAUSALITO AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913045416",
            "telephone_number": "818-618-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "STEVEN",
        "middle_name": "HOWARD",
        "name_prefix": "Mr.",
        "credential": "MS PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "12477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.