MARISA MCCORMACK (NPI# 1730705518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730705518 |
| Entity Type | Individual |
| Full Name | MARISA MCCORMACK |
| Practice Address |
1921 Ortega St Navarre FL 32566-4111 |
| Mailing Address |
9115 E River Dr Navarre FL 32566-2537 |
| Practice Telephone | 8509368919 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT35820 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144712993 | Marisa Wegener Mccormack | Social Worker | 76 Summer St, Haverhill, MA 01830-5814 | 2018-06-06 |
| Street Address |
1921 ORTEGA ST |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639112105 | Lisa J. Smith | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2006-06-13 |
| 1083258917 | Charles Joseph Farley Hernandez | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2019-11-04 |
| 1831642545 | Benjamin Scott Parrish | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2016-07-28 |
| 1700253390 | Dallas Tew | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2015-08-31 |
| 1144598541 | David J Raney | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2011-12-13 |
| 1063791150 | Charlotte Heidelberg Stark | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2011-08-08 |
| 1770722472 | Catherine A. Valentino | Occupational Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2009-02-19 |
| 1366612384 | Mary Kay Daniels | Physical Therapy Assistant | 1921 Ortega St, Navarre, FL 32566-4111 | 2008-03-05 |
| 1427235282 | Teresa Marcus | Physical Therapy Assistant | 1921 Ortega St, Navarre, FL 32566-4111 | 2008-01-23 |
| 1710919428 | Amy Hackman | Occupational Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871066704 | Tyler Hughes | Physical Therapist | 7760 Navarre Pkwy Apt 824, Navarre, FL 32566-5520 | 2019-01-03 |
| 1750779112 | Sindhu Decent | Physical Therapist | 6732 Elbing St, Navarre, FL 32566-6723 | 2015-01-07 |
| 1457536781 | Frank Daniels | Physical Therapist | 8201 Pompano St, Navarre, FL 32566-6924 | 2008-01-06 |
| 1023192804 | Matthew John Coats | Physical Therapist | 7552 Navarre Pkwy Unit 32, Navarre, FL 32566-7308 | 2006-10-25 |
| 1639112105 | Lisa J. Smith | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2006-06-13 |
| 1245856392 | Jordan Hebert | Physical Therapist | 1762 Sea Lark Ln, Navarre, FL 32566-7406 | 2020-06-24 |
| 1083258917 | Charles Joseph Farley Hernandez | Physical Therapist | 1921 Ortega St, Navarre, FL 32566-4111 | 2019-11-04 |
| 1912566894 | Christina Simpson | Physical Therapist | 8199 Navarre Pkwy Ste 12a, Navarre, FL 32566-6941 | 2019-06-13 |
| 1285291443 | Cortney Melvin | Physical Therapist | 7552 Navarre Pkwy Unit 32, Navarre, FL 32566-7308 | 2019-05-23 |
| 1508320045 | Chet Alan Seaman | Physical Therapist | 8199 Navarre Pkwy Ste 12a, Navarre, FL 32566-6941 | 2019-01-29 |
| Find all providers in NAVARRE | ||||
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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.