Individual provider Active NPI

Tracey Lynn D'Alterio, OTR

  • Occupational Therapist
  • Syracuse, NY
National Provider Identifier
1033241757
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0058471 Issued in NY
Practice address
1001 W Fayette St Ste 5B
Syracuse, NY 13204-2867
Phone
(315) 425-8519
NPI assigned
Mar 9, 2007
Last updated
Nov 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0058471 NY Primary

Addresses

Primary practice location

1001 W Fayette St Ste 5B
Syracuse, NY 13204-2867

Mailing address

425 Blueberry LN
Syracuse, NY 13219-2125
Phone (315) 418-6006

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0058471NYMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1033241757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BLUEBERRY LN",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132192125",
            "telephone_number": "315-418-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST STE 5B",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042867",
            "telephone_number": "315-425-8519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALTERIO",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "0058471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.