Chelsea Bree McCormick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1290281 Issued in TX

Practice address

9616 N Lamar Blvd Ste 105
Austin, TX 78753-4163

Phone

(512) 527-9608

Fax

(512) 527-9618

NPI assigned

Jun 14, 2017

Last updated

Jun 14, 2017By 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

State licenses

Practice roles

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.

• Epic Pediatric Therapy, LP.

  dba Aveanna Healthcare

  • Rehabilitation Clinic/Center
  • Arlington, TX
  • NPI 1013163377
  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1629508502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 NE LOOP 820 BUSINESS TOWER 1",
            "address_2": "SUITE 200",
            "city": "HURST",
            "state": "TX",
            "postal_code": "76053",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9616 N LAMAR BLVD STE 105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787534163",
            "telephone_number": "512-527-9608",
            "fax_number": "512-527-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "CHELSEA",
        "middle_name": "BREE",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1290281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Noel McCord, MD
• Susan Rae McCord, CRNA
• Anna Cathleen McCormack, PHARMD
• McCormick Vision PC
• Annette S. McCormick, MD
• Elizabeth Grace McCormick, LMSW
• John McCormick Jr.
• Joyce Kelly McCormick
• Kelley Anne McCormick, OTR
• Michael McCormick

• Physical Therapist in Austin, TX
• Providers in Austin, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.