Active NPI
Karen Elaine McCormack, OTR
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1760778054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3612
- Practice address
- 1208 3Rd Ave S
Birmingham, AL 35233-1311 - Phone
- (205) 638-7505
- NPI assigned
- Jun 24, 2011
- Last updated
- Sep 10, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3612 | AL | Primary |
Addresses
Primary practice location
1208 3Rd Ave S
Birmingham, AL 35233-1311
Mailing address
6501 Julia Pearl LN
Cottondale, AL 35453-4330
Phone (205) 394-5416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3612 | AL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378771200000",
"number": "1760778054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 JULIA PEARL LN",
"city": "COTTONDALE",
"state": "AL",
"postal_code": "354534330",
"telephone_number": "205-394-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 3RD AVE S",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352331311",
"telephone_number": "205-638-7505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "KAREN",
"middle_name": "ELAINE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-24",
"last_updated": "2013-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.