Tracey Lynn Minkin, OT

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

7532 Issued in FL

Practice address

1031 Seminole Dr
Fort Lauderdale, FL 33304-3243

Phone

(954) 780-5627

NPI assigned

Dec 13, 2020

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Coral Gables, FL
  • NPI 1871972653
  Medicare reassignment NPD
• Stellar Therapy Services LLC

  • Physical Therapist
  • Wilton Manors, FL
  • NPI 1184212375
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1083200109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SE 5TH CT",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333013006",
            "telephone_number": "954-695-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SEMINOLE DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333043243",
            "telephone_number": "954-780-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINKIN",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "7532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindful Connections, LLC
• Mindful Conversations Therapy and Consulting LLC
• Mindful Journey Center, LLC
• Mindfully Me Therapy
• Aaron J Miner, DO
• Mackenzie Austin Minnick, PA-C
• Minority Development & Empowerment, Inc.
• Minority Development & Empowerment, Inc.
• Mint Chiropractic, LLC
• Brehanah Paige Mirabella

• Gerontology Occupational Therapist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Gerontology Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.