ELIZABETH MARY CORMACK (NPI# 1497958557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497958557 |
| Entity Type | Individual |
| Full Name | ELIZABETH MARY CORMACK |
| Credential | OTR L |
| Practice Address |
136 Sullivan Rd Glen Morgan WV 25813-7600 |
| Mailing Address |
109 West Locust Drive Beckley WV 25801 |
| Practice Telephone | 3042564555 |
| Mailing Telephone | 3042560609 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-10-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 695 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
136 SULLIVAN RD |
| City | GLEN MORGAN |
| State | WV |
| Zip Code | 25813-7600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164515045 | Suzanne Holt Elliott | Counselor | 136 Sullivan Rd, Glen Morgan, WV 25813-7600 | 2006-10-02 |
| 1659515633 | Ann Darby | Speech-Language Pathologist | 136 Sullivan Rd, Glen Morgan, WV 25813-7600 | 2009-04-22 |
| 1528238425 | Mary Prentice | Psychologist | 136 Sullivan Rd, Glen Morgan, WV 25813-7600 | 2008-03-06 |
| 1760652663 | Sarah Burks | Physical Therapist | 136 Sullivan Rd, Glen Morgan, WV 25813-7600 | 2008-03-06 |
| 1467622365 | Klaye Lilly | Physical Therapist | 136 Sullivan Rd, Glen Morgan, WV 25813-7600 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303689 | Jeanie Rae Hosler | Technician | 1897 Fitzpatrick Rd, Glen Morgan, WV 25813 | 2020-10-14 |
| 1699383448 | Anthony Ray Wills | Technician | 1110 Old Crow Rd, Beaver, WV 25813 | 2020-07-17 |
| 1053858191 | Mary Fox | Physical Therapy Assistant | 100 Grey Stone Drive, Beaver, WV 25813 | 2017-01-27 |
| 1912224676 | Amber Marie Lilly | Occupational Therapist | 200 Greystone Drive, Beaver, WV 25813 | 2010-04-21 |
| 1073735346 | Dominick Harry Mclain | Emergency Medicine | 1600 Industrial Park Road, Beaver, WV 25813 | 2007-05-03 |
| 1457476525 | M I Dababnah Md Inc | Clinic/Center | 856 S. Ritter Dr., Beaver, WV 25813 | 2007-03-20 |
| 1255477212 | Linkous Family Health Care LLC | Nurse Practitioner | 993 Ritter Drive, Beaver, WV 25813 | 2007-01-29 |
| 1033212493 | David Mccormack Dds | Dentist | 701 Ritter Dr, Beaver, WV 25813 | 2006-09-07 |
| 1518060276 | West Virginia Cvs Pharmacy LLC | Pharmacy | Rte 19 21 Ritter Drive, Beaver, WV 25813 | 2006-09-07 |
| 1518073907 | Sherry L Duvall | Nurse Practitioner | 134 Medical Place, Airport Industrial Park, Commerce Drive, Beaver, WV 25813 | 2006-08-21 |
| Find all providers in zip 25813 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517665 | Laura Bashour | Occupational Therapist | 105 Stanley St, Morgantown, WV 26508-9115 | 2020-08-07 |
| 1043838345 | Kristi A Fawcett | Occupational Therapist | 205 Shawnee Est, Winfield, WV 25213-9710 | 2020-07-13 |
| 1164046090 | Mayflower LLC | Occupational Therapist | 202 Hidden Hollow Ln, Cameron, WV 26033-1671 | 2020-06-06 |
| 1134778459 | Carly Ann Harris | Occupational Therapist | 1228 National Rd, Wheeling, WV 26003-5787 | 2019-09-09 |
| 1386206910 | Paige A Harman | Occupational Therapist | 26 Commerce Dr, Westover, WV 26501-3874 | 2019-07-03 |
| 1306401807 | Rae Ann Smith | Occupational Therapist | 1 Diane Dr., Fort Ashby, WV 26719 | 2019-05-09 |
| 1588229165 | Jaimie K Merinar | Occupational Therapist | 2478 Sand Hill Rd, Wheeling, WV 26003-8926 | 2019-05-08 |
| 1063972099 | Phillip King | Occupational Therapist | 225 Sunbridge Dr., Salem, WV 26426 | 2019-03-25 |
| 1366916546 | Professional Sportscare & Rehab of West Virginia, LLC | Occupational Therapist | 34 W Virginia Way, Ranson, WV 25438-4882 | 2019-01-22 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| Find all providers with the same taxonomy | ||||
| City | GLEN MORGAN |
| Zip Code | 25813 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.