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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISA MCCORMACK

Active

MARISA MCCORMACK is a Physical Therapy Assistant healthcare provider located in SHALIMAR, Florida. NPI 1730705518 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · SHALIMAR, FL

Registration Details

NPI Number
1730705518
Provider Type
Individual
Gender
Female
NPI Issued
Jun 17, 2020 (6.17146879718 yrs)
Last Updated
Jan 23, 2026
Licenses
PT302271 (CA)
PT35820 (FL)

Practice Information

Address
4 8TH ST UNIT A
SHALIMAR, FL, 325792146
Browse FL providers · Browse ZIP 32579
Phone
3305540631
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in SHALIMAR, FL

Name Credential NPI
MICHAEL TRAVERS 1629444757
AMY R DAVIS PT 1295233302
KRISTA L EVANS DPT 1235761644
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.