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JILL SUZANNE MCCORMICK P.T.
NPI 1073517520
Physical Therapist - Orthopedic in Soquel, CA

Active since June 10, 2005
2650 RESEARCH PARK DR, SOQUEL, CA 95073(831) 566-2004(831) 325-0307 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jill Suzanne Mccormick P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JILL SUZANNE MCCORMICK P.T. (NPI 1073517520) is an individual orthopedic provider in Soquel, California, licensed in California (PT36994) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1073517520
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameJILL SUZANNE MCCORMICKCredential: P.T.
Location Address2650 RESEARCH PARK DRSoquel, CA 95073-2087
Mailing Address121 Waugh AveSanta Cruz, CA 95065-1133 · (831) 566-2004 · Fax (831) 325-0307
Phone(831) 566-2004
Fax(831) 325-0307
Sole ProprietorNo
Enumeration DateJune 10, 2005
Last NPPES UpdateMay 3, 2016
✔ NPI 1073517520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Licenses✔ Licensed in CA · PT36994✔ Licensed in IL · 070014339
Definition
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.
Also ListedPhysical TherapistTaxonomy 225100000X · License 108639 (MO)
2650 RESEARCH PARK DR, Soquel, CA 95073
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Other Identifiers 2

Medicare PIN168500001MO
Medicaid484700802MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCEL PERFORMANCE PHYSICAL THERAPY, P.C.
Clinic/Center (Physical Therapy)
2650 RESEARCH PARK DR
SOQUEL, CA 95073
Santa Cruz County (831) 566-2004

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jill Mccormick's NPI number?

The NPI number for Jill Mccormick is 1073517520. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Jill Mccormick located?

Jill Mccormick practices at 2650 Research Park Dr, Soquel, CA 95073. The listed phone number is (831) 566-2004.

What is Jill Mccormick's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Jill Mccormick was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.