Tammy McCormick

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Practice address

W76N677 Wauwatosa Rd
Cedarburg, WI 53012-1707

Phone

(414) 329-2428

Fax

(414) 329-2428

NPI assigned

Nov 17, 2017

Last updated

Sep 28, 2022By 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)

Enrolled

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1740794361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W76N677 WAUWATOSA RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W76N677 WAUWATOSA RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121707",
            "telephone_number": "414-329-2428",
            "fax_number": "414-329-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N7135 Rocky Knoll Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "WI",
            "postal_code": "530733103",
            "country_code": "US",
            "telephone_number": "920-893-6441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2462 N Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532114451",
            "country_code": "US",
            "telephone_number": "414-224-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-17",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Matocky
• Matthew Maves, MD
• Shelby June Mayer
• Alexandra D Mazares
• Renee M Mazurek, MPT
• Darcy McMurtagh
• Maria N Mendoza-Lemes, MD
• Sarayu Meraki, LPC
• Donald J. Meyer, D.O.
• Susan Elaine Miazga, RPH

• Physical Rehabilitation Occupational Therapist in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Physical Rehabilitation Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.