Active NPI
Tracy E. Springman, OTR/L, CHT
- Occupational Therapist
- Mill Creek, WA
National Provider Identifier
1114965001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00000545
- Practice address
- 15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500 - Phone
- (425) 225-6867
- Fax
- (425) 332-2494
- NPI assigned
- Jun 3, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | |||
| Occupational Therapist | 225X00000X | OT00000545 | WA | Primary |
Addresses
Primary practice location
15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500
Mailing address
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Other practice location 1
6808 220th St SW Ste 200
Mountlake Terrace, WA 98043-2187
Phone (425) 673-3916
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0285975 | Other | WA | L & I |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4 King County Washington | 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.
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1114965001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15808 MILL CREEK BLVD STE 120",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121500",
"telephone_number": "425-225-6867",
"fax_number": "425-332-2494"
}
],
"practiceLocations": [
{
"address_1": "6808 220th St SW Ste 200",
"address_purpose": "LOCATION",
"city": "Mountlake Terrace",
"state": "WA",
"postal_code": "980432187",
"country_code": "US",
"telephone_number": "425-673-3916",
"fax_number": "425-673-3926",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPRINGMAN",
"first_name": "TRACY",
"middle_name": "E.",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00000545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0285975",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.