Healix Rehab LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

HEALIX REHAB LLC

Practice address

4 8TH St Unit a
Shalimar, FL 32579-2146

Phone

(330) 554-0631

NPI assigned

Jan 23, 2026

Last updated

Jan 23, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marisa Marie McCormack, DPTNPI 1730705518

Title

Owner/PT

Phone

(330) 554-0631

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisa McCormack

  • Physical Therapist
  • Shalimar, FL
  • NPI 1730705518
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1769126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1386593341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 8TH ST UNIT A",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325792146",
            "telephone_number": "330-554-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 8TH ST UNIT A",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325792146",
            "telephone_number": "330-554-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALIX REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-23",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "MCCORMACK",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "330-554-0631",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Gillis, M.D.
• Rebecca Kerry Gilpatrick, LCSW
• Joselyne Stephanie Gonzalez Betancourt
• Lisette Greene
• David John Hanle, D.M.D.
• Jayden Isaac Heringer
• Holly Ward, M.D.
• Ashley Nicole Jollie
• Molly Marie Jones, RN
• Margo Kelley Keeler

• Physical Therapy Clinic/Center in Shalimar, FL
• Providers in Shalimar, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.