TARA LINETTE MCCORMICK (OTD, OTRL) – Occupational Therapist, NPI 1104959428

TARA LINETTE MCCORMICK (OTD, OTRL) is a healthcare provider. based in Andover, Massachusetts. specializing in Occupational Therapist. They hold the professional credentials OTD, OTRL. They hold a License No. OTL5915 (MA). The NPI Number for TARA LINETTE MCCORMICK (OTD, OTRL) is 1104959428

Main info

Female
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
TARA LINETTE MCCORMICK (OTD, OTRL)
NPI
1104959428
Phone
(978) 474-5082
Address
235 SALEM ST
Enumeration Date
14 March 2007
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5082432433
Graduation Year
1994 (32 years ago)
PAC ID
6507285624
Professional Enrollment ID
I20200923001133
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for TARA LINETTE MCCORMICK (OTD, OTRL)

  • 235 SALEM ST

    ANDOVER, MA 018102214

    Phone: (978) 474-5082

    Type: Mailing

  • 451 ANDOVER ST

    SUITE 100

    NORTH ANDOVER, MA 018455044

    Phone: (978) 681-6605

    Type: Location

  • 4990 KISER ISLAND RD

    TERRELL, NC 286829773

    Phone: (508) 243-2433

    Type: Mailing

  • 1178B RIVER HWY STE 100

    MOORESVILLE, NC 281179064

    Phone: (508) 243-2433

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-09-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200923001133IOccupational Therapist In Private PracticeNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01810)

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Reviews

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Frequently asked questions

What federal number belongs to TARA LINETTE MCCORMICK (OTD, OTRL)?
The federal identifier for TARA LINETTE MCCORMICK (OTD, OTRL) is NPI 1104959428.
Is TARA LINETTE MCCORMICK (OTD, OTRL)'s NPI currently valid?
The extract we use shows TARA LINETTE MCCORMICK (OTD, OTRL) as active.
What does TARA LINETTE MCCORMICK (OTD, OTRL) treat or focus on?
Patients typically see TARA LINETTE MCCORMICK (OTD, OTRL) under the specialty Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for TARA LINETTE MCCORMICK (OTD, OTRL)?
The page summarizes Andover, Massachusetts for TARA LINETTE MCCORMICK (OTD, OTRL); expand the address list for detail.
What if Andover, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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