Active NPI
Tracy Lea Gramer, OTR/L, CHT
- Occupational Therapist
- Edmonds, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT00004260
- Practice address
- 7320 216TH St SW Ste 320
Edmonds, WA 98026-8006 - Phone
- (425) 673-3900
- Fax
- (425) 673-3910
- NPI assigned
- Mar 29, 2007
- 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 | OT00004260 | WA | |
| Occupational Therapist | 225X00000X | OT00004260 | WA | Primary |
Addresses
Primary practice location
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Mailing address
7320 216TH St SW Ste 320
Edmonds, WA 98026-8006
Phone (425) 673-3900
Other practice location 1
15808 Mill Creek Blvd Ste 120
Mill Creek, WA 98012-1500
Phone (425) 225-6867
Other practice location 2
190 W Dayton St Ste 202
Edmonds, WA 98020-7221
Phone (425) 582-8118
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338248 | Other | WA | WA LABOR & INDUSTRIES |
| 2122748 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15808 Mill Creek Blvd
Suite 120
Mill Creek, WA 98012-1500
Phone (425) 225-6867
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT00004260 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proliance Surgeons, Inc., P.S. | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients | |
| Proliance Surgeons Inc P S | Current | Accepting new patients |
Locations
190 W Dayton St
Ste 202
Edmonds, WA 98020
Phone (425) 252-4700
7320 216th St SW
Ste 320
Edmonds, WA 98026
Phone (425) 673-3900
19031 33rd Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 741-0056
15808 Mill Creek Blvd
Ste 120
Mill Creek, WA 98012
Phone (425) 225-6867
805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
-
- Orthopaedic Surgery Physician
- Renton, WA
- NPI 1235091463
-
- Otolaryngology/Facial Plastic Surgery Physician
- Mount Vernon, WA
- NPI 1215368717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1144340688",
"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",
"telephone_number": "425-673-3900",
"fax_number": "425-673-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7320 216TH ST SW STE 320",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980268006",
"telephone_number": "425-673-3900",
"fax_number": "425-673-3910"
}
],
"practiceLocations": [
{
"address_1": "15808 Mill Creek Blvd Ste 120",
"address_purpose": "LOCATION",
"city": "Mill Creek",
"state": "WA",
"postal_code": "980121500",
"country_code": "US",
"telephone_number": "425-225-6867",
"fax_number": "425-332-2494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "190 W Dayton St Ste 202",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980207221",
"country_code": "US",
"telephone_number": "425-582-8118",
"fax_number": "425-582-7420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRAMER",
"first_name": "TRACY",
"middle_name": "LEA",
"name_prefix": "Mrs.",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-29",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "WA",
"license": "OT00004260",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WA",
"license": "OT00004260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA LABOR & INDUSTRIES",
"identifier": "338248",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2122748",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.