Tyme McCormick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA26272 Issued in FL

Practice address

201 W Guava St
Suites 204 & 205
Lady Lake, FL 32159-1701

Phone

(352) 633-7222

NPI assigned

May 4, 2016

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

State licenses

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1750737185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072245",
            "telephone_number": "352-336-6000",
            "fax_number": "352-336-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W GUAVA ST",
            "address_2": "SUITES 204 & 205",
            "city": "LADY LAKE",
            "state": "FL",
            "postal_code": "321591701",
            "telephone_number": "352-633-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "TYME",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA26272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doracelis Gisselle Marti Reyes, DOULA
• Sharon Martin, CCC-SLP
• Samuel A Mason, DPM
• Emily Matheson, FNP
• Nikola Kankova Matson, CRNA
• Thomas Hatton McCoy, MD
• Natalie Fernandez McGonigal
• Jordyn McKee
• Glenn R McKeon, PA-C
• Hilary McNamara

• Physical Therapy Assistant in Lady Lake, FL
• Providers in Lady Lake, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.