Kieran Michael McCormack

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PT45033 Issued in FL

Practice address

25 S Terry Ave
Orlando, FL 32805-1843

Phone

(800) 974-0554

NPI assigned

Sep 10, 2026

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

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1265342299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S TERRY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S TERRY AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051843",
            "telephone_number": "800-974-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 E Rollins St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328045502",
            "country_code": "US",
            "telephone_number": "407-303-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "KIERAN",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "PT45033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis McCommon, M.D.
• Lauren Nicole McConeghy, P.A-C
• Rebecca Scott McConnell, D.O.
• Valerie Dawn McConnell, MS, CCC-SLP
• Michael Grady McCorkle, D.M.D.
• Briana McCormick, PT, DPT
• Jennifer McCormick
• Richard McCormick, R.PH.
• Talanda McCormick, ARNP
• Cathrine Lynn McCoy, PHARMD

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.