Marisa Mccormack
NPI 1730705518 · Physical Therapist · Shalimar, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Mccormack is a Physical Therapist provider in Shalimar, FL (NPI 1730705518).
Provider details
- NPI number
- 1730705518
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PT302271 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 44303 Lowtree AveLancaster, CA 93534-4149Phone: (661) 940-5494
- 1921 Ortega StNavarre, FL 32566-4111Phone: (850) 936-8919
- 4 9th Ave Bldg CShalimar, FL 32579-1746Phone: (850) 613-4099
Registry dates
- Enumerated
- 2020-06-17
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Marisa Mccormack's NPI number?
- Marisa Mccormack's National Provider Identifier (NPI) is 1730705518, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Mccormack's specialty?
- Marisa Mccormack is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Marisa Mccormack located?
- Marisa Mccormack's practice location on file with NPPES is 4 8th St Unit a, Shalimar, FL 32579-2146.
- What is Marisa Mccormack's phone number?
- The practice phone number listed in the NPPES registry for Marisa Mccormack is (330) 554-0631.
- Does Marisa Mccormack accept Medicare?
- Marisa Mccormack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Mccormack's NPI active?
- Yes — Marisa Mccormack's NPI (1730705518) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.