Individual provider Active NPI

Deanna Marie McComish, L.A.T.C, P.T.

  • Athletic Trainer
  • Holland, OH
National Provider Identifier
1366498701
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-96 Issued in OH
Practice address
7117 Orchard Centre Dr
Holland, OH 43528-7974
Phone
(419) 866-9675
Fax
(419) 866-5716
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-4112 OH
Ergonomics Physical Therapist 2251E1200X PT-4112 OH
Sports Physical Therapist 2251S0007X PT-4112 OH
Orthopedic Physical Therapist 2251X0800X PT-4112 OH
Athletic Trainer 2255A2300X AT-96 OH Primary

Addresses

Primary practice location

7117 Orchard Centre Dr
Holland, OH 43528-7974

Mailing address

7117 Orchard Centre Dr
Holland, OH 43528-7974
Phone (419) 866-9675

Other identifiers 1

IdentifierTypeStateIssuer
2514747MedicaidOH

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

LicenseStateTypeSpecialty
PT-4112OHMDOrthopedic Physical Therapist
AT-96OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Works LTD PastSince Jan 1, 2002 Accepting new patients

Organizations & group practices 1

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366498701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7117 ORCHARD CENTRE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287974",
            "telephone_number": "419-866-9675",
            "fax_number": "419-866-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7117 ORCHARD CENTRE DR",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435287974",
            "telephone_number": "419-866-9675",
            "fax_number": "419-866-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMISH",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.A.T.C, P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT-4112",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": "OH",
            "license": "PT-4112",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "OH",
            "license": "PT-4112",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OH",
            "license": "PT-4112",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-96",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2514747",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.