Betty Anne Maccormac, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7115 Issued in CA

Practice address

330 Golden SHR
Long Beach, CA 90802-4246

Phone

(866) 414-0448

NPI assigned

Aug 8, 2013

Last updated

Aug 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375920000000",
    "number": "1568894806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11412",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902134412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 GOLDEN SHR",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024246",
            "telephone_number": "866-414-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCORMAC",
        "first_name": "BETTY ANNE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "7115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mac, PHARM.D.
• Ricky Phong Tan Mac, MD
• Morgan Macaluso, PH.D.
• Michelle Macaspac
• Mark Anthony Macatrao
• Isabel Melissa Macdonald
• Shandalee Kimberlee Macedo
• George A. Macer Jr., M.D.
• Rukhsar Mohamed Karim Machiwalla, PA-C
• Carlos Machuca

• Occupational Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.