Active NPI
Deanna Marie McComish, L.A.T.C, P.T.
- Athletic Trainer
- Holland, OH
National Provider Identifier
1366498701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-96
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2514747 | Medicaid | OH |
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 |
|---|---|---|---|
| PT-4112 | OH | MD | Orthopedic Physical Therapist |
| AT-96 | OH | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Works LTD | Past | 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.
-
- Physical Therapy Clinic/Center
- Holland, OH
- NPI 1306069349
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.