Active NPI
Olivia Michele Tracy
- Occupational Therapist
- Salem, NH
National Provider Identifier
1144920257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3245
- Practice address
- 70 Butler St
Salem, NH 03079-3925 - Phone
- (603) 893-2900
- NPI assigned
- Mar 7, 2023
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 14800 | MA | |
| Occupational Therapist | 225X00000X | 3245 | NH | Primary |
Addresses
Primary practice location
70 Butler St
Salem, NH 03079-3925
Mailing address
70 Butler St
Salem, NH 03079-3925
Phone (603) 893-2900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3245 | NH | MD | General Practice Dentistry |
| 14800 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1144920257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 BUTLER ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030793925",
"telephone_number": "603-893-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BUTLER ST",
"city": "SALEM",
"state": "NH",
"postal_code": "030793925",
"telephone_number": "603-893-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "OLIVIA",
"middle_name": "MICHELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-07",
"last_updated": "2023-03-07",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "14800",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NH",
"license": "3245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.