McCormick Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MCCORMICK PHYSICAL THERAPY LLC

Practice address

5929 Westgate Blvd Ste C
Tacoma, WA 98406-2567

Phone

(253) 686-9511

NPI assigned

Sep 13, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca K McCormick, PTNPI 1104076918

Title

Physical Therapist, Owner

Phone

(253) 686-9511

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Kathleen McCormick, PT

  • Physical Therapist
  • Tacoma, WA
  • NPI 1104076918
  NPD Authorized official

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1497477848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 WESTGATE BLVD STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062567",
            "telephone_number": "253-686-9511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 WESTGATE BLVD STE C",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984062567",
            "telephone_number": "253-686-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCORMICK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-10",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "253-686-9511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI(TYPE 1)",
            "identifier": "1104076918",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "becky@mccormickphysicaltherapy.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "5929 Westgate Blvd Ste C",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984062567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Loren Wilburn McCollom, PH.D.
• Francis Eugene McConnell III
• Rebecca Lynn McConnell, M.D.
• Megan McCorkindale, CCC
• Cedi L McCorkle
• Alex McCormick, PHARMD
• Rebecca Kathleen McCormick, PT
• Roy Earl McCourt, D.C.
• Sonja McCoy Valrey, DDS
• Darren Jamaal McCoy-Lewis

• Physical Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.