Kathleen Bridget Tracy, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

9144 Issued in MA

Practice address

214 Lake St
Child Development Building
Shrewsbury, MA 01545-3960

Phone

(508) 856-4202

Fax

(508) 845-2783

NPI assigned

May 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033327960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 STONELAND RD",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015454451",
            "telephone_number": "508-753-2050",
            "fax_number": "508-845-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LAKE ST",
            "address_2": "CHILD DEVELOPMENT BUILDING",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015453960",
            "telephone_number": "508-856-4202",
            "fax_number": "508-845-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "KATHLEEN",
        "middle_name": "BRIDGET",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "9144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd a Pizzi DDS,LLC
• Mina Toma
• Joahd M Toure, M.D.
• Town of Shrewsbury
• Towne Medical Supply, Inc.
• Andie Tran, DMFT
• Mai Xuan D Tran, PHARMD
• Stephanie Tran, PHARM.D.
• Thao Tran
• Nicole M Trask, PHARM.D.

• Pediatric Physical Therapist in Shrewsbury, MA
• Providers in Shrewsbury, MA by specialty
• Pediatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.