Loree McCary, ATC, LAT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

AT1184 Issued in TX

Practice address

1936 North St
Sfa Sports Medicine Clinic
Nacogdoches, TX 75965-3940

Phone

(936) 468-4550

Fax

(936) 468-4052

NPI assigned

Aug 11, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stephen F Austin State University Sports Medicine

  • Student Health Clinic/Center
  • Nacogdoches, TX
  • NPI 1063727048
  NPD (past)

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1891000139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13010",
            "address_2": "SFA STATION",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759620001",
            "telephone_number": "936-468-4550",
            "fax_number": "936-468-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 NORTH ST",
            "address_2": "SFA SPORTS MEDICINE CLINIC",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759653940",
            "telephone_number": "936-468-4550",
            "fax_number": "936-468-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARY",
        "first_name": "LOREE",
        "name_prefix": "Mrs.",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "AT1184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Jean Mayer, LPC
• Sequoyah Mayfield
• Vickie McCarley, SLP
• Debra E McCarthy, CNM
• Amanda McCarty, PA-C
• Lisa Nicole McCleary
• Gary Warren McClinton, DC
• Claudia Rae Shae McCollough, APRN-CNM
• Rebecca Kate McConnell, APRN, FNP-C
• Joe Warren McCracken, M.ED., L.P.C.

• Physical Medicine & Rehabilitation Physician in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.