Marsha McCormac, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

174 Issued in OK

Practice address

1615 Berkshire, Suite 208
Broken Arrow, OK 74012

Phone

(918) 855-8639

NPI assigned

Oct 29, 2014

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": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1649675919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N 68TH ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740146952",
            "telephone_number": "918-855-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 BERKSHIRE, SUITE 208",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "918-855-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMAC",
        "first_name": "MARSHA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R McCaslin
• Caleb James McClary, COTA/L
• Mina McClure, M.S.
• Brooklyn Diane McColey-Tuttle, DPT, PT
• Alex Matthew McCorkle
• Megan McCormick, M.S. CCC-SLP
• Cameron Joseph McCoy
• Michael McCoy, PTA
• Erin Deann McCrary, M.S./CCC-SLP
• Madeline McCrate, LCSW

• Occupational Therapy Assistant in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.