MARISA MCCORMACK – Physical Therapist, NPI 1730705518

MARISA MCCORMACK is a healthcare provider. based in Shalimar, Florida. specializing in Physical Therapist. They hold a License No. PT302271 (CA). The NPI Number for MARISA MCCORMACK is 1730705518

Main info

Female
Name
MARISA MCCORMACK
NPI
1730705518
Phone
(330) 554-0631
Address
4 8TH ST UNIT A
Enumeration Date
17 June 2020
Last Update Date
23 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

Provider Addresses for MARISA MCCORMACK

  • 4 8TH ST UNIT A

    SHALIMAR, FL 325792146

    Phone: (330) 554-0631

    Type: Mailing

  • 9115 E RIVER DR

    NAVARRE, FL 325662537

    Phone:

    Type: Mailing

  • 1921 ORTEGA ST

    NAVARRE, FL 325664111

    Phone: (850) 936-8919

    Type: Location

  • 1921 Ortega St

    Navarre, FL 325664111

    Phone: (850) 936-8919

    Type: Location

  • 44303 Lowtree Ave

    Lancaster, CA 935344149

    Phone: (661) 940-5494

    Type: Location

  • 4 9th Ave Bldg C

    Shalimar, FL 325791746

    Phone: (850) 613-4099

    Type: Location

  • 574 N KNIGHT DR

    EDWARDS, CA 935232735

    Phone:

    Type: Mailing

  • 44303 LOWTREE AVE

    LANCASTER, CA 935344149

    Phone: (661) 940-5494

    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: 2024-03-15

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
I20240315001612IPhysical Therapist In Private PracticeFLTBD

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes28618$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28517$0
97140Therapy procedure using manual technique, each 15 minutes8715$0
View full utilization report →

Insurance plans in this area (ZIP 32579)

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Reviews

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Frequently asked questions

What unique ID ties claims to MARISA MCCORMACK?
NPI 1730705518 is assigned to MARISA MCCORMACK under the national enumeration system.
Does this profile mean MARISA MCCORMACK is currently active?
Yes — MARISA MCCORMACK appears active in the national provider directory.
Does MARISA MCCORMACK list a primary specialty?
If you are matching referrals, note Physical Therapist for MARISA MCCORMACK. Clinical services aligned with this taxonomy classification.
Where is MARISA MCCORMACK's primary listing?
We display Shalimar, Florida because that is what the record indicates for MARISA MCCORMACK.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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