Darcy Jo McCormick, PTA, CPT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2005-19 Issued in WI

Practice address

W314 N720 State Hwy 83
Delafield, WI 53018

Phone

(262) 361-2056

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1831679000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N27W30097 MAPLE AVE",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530724252",
            "telephone_number": "262-751-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W314 N720 STATE HWY 83",
            "city": "DELAFIELD",
            "state": "WI",
            "postal_code": "53018",
            "telephone_number": "262-361-2056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "DARCY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PTA, CPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2005-15",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "2005-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Elizabeth Lotz
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• Jamie L. Mandigo, DDS
• Many Roads Clinic
• Melissa D Marsh, PT
• MD21 Global
• Sara Marie Mehring, RN
• Brittany Joelle Meyer, MD
• Jaclyn Piskule Meyers, LMT
• Louisa Miles

• Physical Therapy Assistant in Delafield, WI
• Providers in Delafield, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.