MEDICARE: HAILEY MCCORMACK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	18435	NC

General Provider Information

NPI Number	:	1851221113
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAILEY MCCORMACK

Provider Business Mailing Address
First Line	:	2301 REXWOODS DR STE 118
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-3366
Country	:	US
Telephone Number	:	919-781-4434
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 REXWOODS DR STE 118
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27607-3366
Country	:	US
Telephone Number	:	919-781-4434
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	06/08/2026

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Directions to “ HAILEY MCCORMACK ” Practice Location

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