Rachael Lynn McCormack, M.ED., LAT, ATC, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

RT004040 Issued in PA

Practice address

212 E Main St
Lititz, PA 17543-2029

Phone

(717) 443-5125

NPI assigned

Mar 24, 2009

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

Other names 1

• Miss Rachael Lynn Gamaldi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1790927622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CIRCLE RD",
            "city": "MILLERSVILLE",
            "state": "PA",
            "postal_code": "175511513",
            "telephone_number": "717-443-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175432029",
            "telephone_number": "717-443-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "RACHAEL",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LAT, ATC, PES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-24",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "GAMALDI",
            "middle_name": "LYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew J. Link, O.D. LLC
• Emily Miranda May, CRNP
• Maybrook-P Audubon Opco, LLC
• Andrew C Mayfield, MSN, CRNP
• Michael R MC Allister, DO
• Kathryn McCormick, CNM
• Terri Ann McCormick, CNM
• Hayden Scott McDevitt, DPT
• Alexis McElwee
• Sean Michael McFadden, D.O.

• Athletic Trainer in Lititz, PA
• Providers in Lititz, PA by specialty
• Athletic Trainer in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.

Verify at the official NPI Registry.