Active NPI
Briana McCormick, PT, DPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1235530577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29471
- Practice address
- 10920 Moss Park Rd Ste 212
Orlando, FL 32832-6087 - Phone
- (407) 753-2192
- Fax
- (407) 369-4266
- NPI assigned
- Sep 5, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29471 | FL | Primary |
Addresses
Primary practice location
10920 Moss Park Rd Ste 212
Orlando, FL 32832-6087
Mailing address
10920 Moss Park Rd
Ste 212
Orlando, FL 32832-6087
Phone (407) 833-0802
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686675 | Other | FL | MEDICARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29471 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581379200000",
"number": "1235530577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 MOSS PARK RD",
"address_2": "STE 212",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326087",
"telephone_number": "407-833-0802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 MOSS PARK RD STE 212",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328326087",
"telephone_number": "407-753-2192",
"fax_number": "407-369-4266"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "BRIANA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-05",
"last_updated": "2020-02-11",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "29471",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "686675",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.