Andrea L McCormick, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

63015400 Issued in NY

Practice address

18 Broad St
Johnson City, NY 13790-2106

Phone

(607) 798-5255

NPI assigned

Nov 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1528211653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 RAIFORD RD",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138503253",
            "telephone_number": "845-649-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 BROAD ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902106",
            "telephone_number": "607-798-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "63015400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily McCabe, LPN
• Michele P McCabe, CSW
• Chantel Marie McCarthy
• Kristin M McCollough, LCSW
• Alexandra McCormick, AU.D
• Jennifer McCormick, LCSW
• Jacqueline Young McKillop
• Matthew James McLain, LMSW
• Nicolette McLain
• Tiffany Ann McLaughlin, MS OTR/L

• Occupational Therapist in Johnson City, NY
• Providers in Johnson City, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.