Active NPI
Anthony McCormick, PT, DPT, OCS, CSCS
- Physical Therapist
- Dickson, TN
National Provider Identifier
1487098083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7041
- Practice address
- 812 N Charlotte St
Dickson, TN 37055-1009 - Phone
- (615) 560-0578
- NPI assigned
- Apr 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7041 | TN | Primary |
Addresses
Primary practice location
812 N Charlotte St
Dickson, TN 37055-1009
Mailing address
7 Gene Dr
Lawrenceburg, TN 38464-7294
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7041 | TN | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422230400000",
"number": "1487098083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 GENE DR",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "384647294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 N CHARLOTTE ST",
"city": "DICKSON",
"state": "TN",
"postal_code": "370551009",
"telephone_number": "615-560-0578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-25",
"last_updated": "2015-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.