Tracy Lin Wondero, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201004210 Issued in MI

Practice address

G1069 N Ballenger Hwy
Flint, MI 48504-4431

Phone

(810) 235-6676

NPI assigned

Jul 25, 2018

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

Other names 1

• Tracy Lin Welch Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1093292773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7263 GREEN VALLEY DR",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G1069 N BALLENGER HWY",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485044431",
            "telephone_number": "810-235-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONDERO",
        "first_name": "TRACY",
        "middle_name": "LIN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201004210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WELCH",
            "middle_name": "LIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Marie Woloszyk, CRNA
• Roshanda Womack, LLPC, MHP, CMHP, QMH
• Teyonna Marie Womack
• Todd Andre Womack, LMSW
• Women in Action
• Kristoffer Wong, DO
• Susan Wong, PA-C
• Elizabeth Ann Wood, LLMSW
• Gary D Wood, MSW
• Jonathan Wood, LMT

• Occupational Therapist in Flint, MI
• Providers in Flint, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.