Active NPI
Melissa Anne McCormack, P.T.
- Physical Therapist
- Stafford, VA
National Provider Identifier
1770532202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305006502
- Practice address
- 90 Greenspring Dr
Stafford, VA 22554-1752 - Phone
- (540) 657-2925
- Fax
- (540) 657-7134
- NPI assigned
- May 10, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305006502 | VA | Primary |
Addresses
Primary practice location
90 Greenspring Dr
Stafford, VA 22554-1752
Mailing address
58 Larkwood CT
Stafford, VA 22554-1587
Phone (540) 657-2925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080313000598 | VA | Practitioner - Physical Therapist in Private Practice | 7315022423 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305006502 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1770532202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 LARKWOOD CT",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541587",
"telephone_number": "540-657-2925",
"fax_number": "540-657-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 GREENSPRING DR",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225541752",
"telephone_number": "540-657-2925",
"fax_number": "540-657-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMACK",
"first_name": "MELISSA",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305006502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.