JILL SUZANNE MCCORMICK P.T. NPI 1073517520

NPI Information

  • NPI: 1073517520
  • Provider Name: JILL SUZANNE MCCORMICK, P.T.
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • Address: 2650 RESEARCH PARK DR
    SOQUEL, CA
    ZIP 95073
  • Phone: (831) 566-2004

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NPI Details

Jill Suzanne Mccormick, P.T. is an orthopedic physical therapist in Soquel, CA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Jill Suzanne Mccormick, P.T. NPI is 1073517520. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2650 RESEARCH PARK DR
SOQUEL, CA
ZIP 95073-087
Phone: (831) 566-2004
Fax: (831) 325-0307

The enumeration date for this NPI number is 6/10/2005 and was last updated on 5/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical Therapist108639MISSOURINo
22251X0800XPhysical TherapistOrthopedic070014339ILLINOISNo
32251X0800XPhysical TherapistOrthopedicPT36994CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1168500001MEDICARE PINMISSOURI
2484700802MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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