Active NPI
Tracy Chappell
- Occupational Therapist
- Broadview Heights, OH
National Provider Identifier
1043744550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3886
- Practice address
- 2410 Stoney Run TRL
Broadview Heights, OH 44147-2559 - Phone
- (440) 610-1584
- NPI assigned
- Apr 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3886 | NM | Primary |
Addresses
Primary practice location
2410 Stoney Run TRL
Broadview Heights, OH 44147-2559
Mailing address
2410 Stoney Run TRL
Broadview Heights, OH 44147-2559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3886 | Other | OH | NEW MEXICO OCCUPATIONAL THERAPY LICENASE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3886 | NM | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sprouts Therapy LLC | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1043744550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 STONEY RUN TRL",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 STONEY RUN TRL",
"city": "BROADVIEW HEIGHTS",
"state": "OH",
"postal_code": "441472559",
"telephone_number": "440-610-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAPPELL",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "3886",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW MEXICO OCCUPATIONAL THERAPY LICENASE",
"identifier": "3886",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Broadview Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.