Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Faith McCormack, PT

Individual provider Physical Therapist · NPI 1053433771

Faith McCormack, PT is a Physical Therapist in Private Practice in Lakeland, Tennessee. Qualified in 1977, 49 years ago. Practices with Venice Physical Therapy and Sports Medicine Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Mississippi, New York and Tennessee.

Years since qualifying
49
Licensed in
MS, NY, TN
In the registry since
2007
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

9754 Pine Point Dr
Lakeland, TN 38002-8402
Phone: (901) 382-5052
Fax: (901) 382-5052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0000006956 (TN)
Physical Therapist Taxonomy 225100000X · Licence PT3688 (MS)
Physical Therapist Taxonomy 225100000X · Licence 005527 (NY)

Record details

NPI number1053433771
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESJuly 8, 2007
Mailing address9754 Pine Point Dr, Lakeland, TN 38002-8402

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Venice Physical Therapy And Sports Medicine Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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