Marisa McCormack

Physical Therapist · Shalimar, FL

Individual Active NPI

NPI number 1730705518

Practice location

4 8TH St Unit a
Shalimar, FL 32579-2146
Phone
(330) 554-0631

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NPI record

NPI
1730705518
Entity type
Individual (Type 1)
Enumeration date
June 17, 2020
Last updated
January 23, 2026
Certified
January 23, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapist Primary 225100000X PT35820 FL
Physical Therapist 225100000X PT302271 CA

Other practice locations (3)

  • 44303 Lowtree Ave, Lancaster, CA 93534-4149 · (661) 940-5494
  • 4 9th Ave Bldg C, Shalimar, FL 32579-1746 · (850) 613-4099
  • 1921 Ortega St, Navarre, FL 32566-4111 · (850) 936-8919

About Marisa McCormack

Marisa McCormack is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 4 8TH St Unit a, Shalimar, FL 32579-2146. The NPI number 1730705518 was assigned on June 17, 2020 and the record was last updated on January 23, 2026.

Marisa McCormack lists 2 licenses in the registry: #PT35820 (FL) for Physical Therapist; #PT302271 (CA) for Physical Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Marisa McCormack?

The NPI number is 1730705518.

What is the phone number of Marisa McCormack?

The phone number listed for the practice location is (330) 554-0631.

Where is Marisa McCormack located?

4 8TH St Unit a, Shalimar, FL 32579-2146.

What is the taxonomy code for Marisa McCormack?

The primary taxonomy code is 225100000X – Physical Therapist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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