Tracy M Bottone, MSOTR/L

Individual provider Active NPI Pediatric Occupational Therapist · Beacon, NY

NPI 1003040908 · NPPES record last updated Dec 15, 2025

Key facts

NPI
1003040908
Entity type
Individual (NPI type 1)
Primary specialty
Pediatric Occupational Therapist 225XP0200X
License
015033-1 (NY)
Practice address
10 Education Dr
Beacon, NY 12508-4066
Phone
(845) 838-6900
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
015033-1NYMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon City School District Past
since Dec 14, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 015033-1 NY Yes

Addresses

Primary practice location

10 Education Dr
Beacon, NY 12508-4066

Mailing address

10 Education Dr
Beacon, NY 12508-4066
Phone (845) 838-6900

Other providers in Beacon, NY

All providers in Beacon, NY · Pediatric Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.