Kelly L Mccormick, OTR/L is a
Occupational Therapist - Physical Rehabilitation based in Omro, Wisconsin. Kelly L Mccormick is licensed to practice in Wisconsin (license number 8213-26) and her current practice location is
500 Grant Ave, Omro, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 685-2755.
NPI number for Kelly L Mccormick is 1528844206 and her current mailing address is 1201 Nature Trail Dr, Neenah, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528844206.
Healthcare Provider's Profile
Full Name | Kelly L Mccormick |
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Gender | Female |
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Speciality | Occupational Therapist - Physical Rehabilitation |
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Location | 500 Grant Ave, Omro, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528844206
- Provider Enumeration Date: 09/07/2023
- Last Update Date: 09/07/2023
Medical Identifiers
Medical identifiers for Kelly L Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528844206 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225XP0019X | Occupational Therapist - Physical Rehabilitation | 8213-26 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly L Mccormick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelly L Mccormick, OTR/L 1201 Nature Trail Dr, Neenah, WI 54956-1676 Ph: (248) 563-9052 | Kelly L Mccormick, OTR/L 500 Grant Ave, Omro, WI 54963-1398 Ph: (920) 685-2755 |
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