Individual provider Active NPI

Joshua R McCormack, PT

  • Physical Therapist
  • Muncie, IN
National Provider Identifier
1427116292
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05008963A Issued in IN
Practice address
4870 E Jackson St
Muncie, IN 47303-4432
Phone
(765) 254-9717
Fax
(765) 254-9739
NPI assigned
Dec 5, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05008963A IN Primary

Addresses

Primary practice location

4870 E Jackson St
Muncie, IN 47303-4432

Mailing address

3600 W Bethel Ave
Muncie, IN 47304-5407
Phone (765) 213-3870

Other practice location 1

410 Pilgrim Blvd
Hartford City, IN 47348-1382
Phone (765) 348-4197

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmccormack@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000512 IN Practitioner - Physical Therapist in Private Practice 0749460939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

410 Pilgrim Blvd
Hartford City, IN 47348
Phone (317) 962-4272

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

3600 W Bethel Ave
Muncie, IN 47304
Phone (765) 213-3870

4870 E Jackson St
Muncie, IN 47303
Phone (765) 254-9717

Interoperability endpoints

  • Direct secure messaging: jmccormack@direct.iuhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1427116292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045407",
            "telephone_number": "765-213-3870",
            "fax_number": "765-213-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 E JACKSON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473034432",
            "telephone_number": "765-254-9717",
            "fax_number": "765-254-9739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Pilgrim Blvd",
            "address_purpose": "LOCATION",
            "city": "Hartford City",
            "state": "IN",
            "postal_code": "473481382",
            "country_code": "US",
            "telephone_number": "765-348-4197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05008963A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccormack@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "410 Pilgrim Blvd",
            "city": "Hartford City",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473481382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.