Individual provider Active NPI

Linda Cormack, PT

  • Physical Therapist
  • Gainesville, FL
National Provider Identifier
1215476247
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT0004831 Issued in FL
Practice address
4740 NW 39TH PL
Suite D
Gainesville, FL 32606-7226
Phone
(352) 265-5200
Fax
(352) 265-5201
NPI assigned
Feb 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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 PT0004831 FL Primary

Addresses

Primary practice location

4740 NW 39TH PL
Suite D
Gainesville, FL 32606-7226

Mailing address

4740 NW 39TH PL
Suite D
Gainesville, FL 32606-7226
Phone (352) 265-5200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT0004831FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1215476247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 NW 39TH PL",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067226",
            "telephone_number": "352-265-5200",
            "fax_number": "352-265-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 NW 39TH PL",
            "address_2": "SUITE D",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067226",
            "telephone_number": "352-265-5200",
            "fax_number": "352-265-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMACK",
        "first_name": "LINDA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-23",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0004831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.