Organization Active NPI

Tracy D. Adams Et Al PTR

  • Prosthetic/Orthotic Supplier
  • Florence, AL
National Provider Identifier
1184954919
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
72 Issued in AL
Legal business name
TRACY D. ADAMS ET AL PTR
Practice address
1905 Florence Blvd
Suite F
Florence, AL 35630-2729
Phone
(256) 275-3535
NPI assigned
Dec 29, 2009
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
TRINITY ORTHOTICS & PEDORTHICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracy Delane Adams, CONPI 1073038667
Title
Owner/Practioner
Phone
(256) 275-3535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 72 AL Primary

Addresses

Primary practice location

1905 Florence Blvd
Suite F
Florence, AL 35630-2729

Mailing address

1905 Florence Blvd
Suite F
Florence, AL 35630-2729
Phone (256) 275-3535

Other identifiers 1

IdentifierTypeStateIssuer
511-5872OtherALBLUE CROSS BLUE SHEILD OF ALABAMA

National Provider Directory

National Provider Directory
Part of
Tracy D Adams Et Al PTR

Locations

109 N Marion St
Athens, AL 35611
Phone (256) 216-8376

1905 Florence Blvd
#F
Florence, AL 35630
Phone (256) 275-3535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1184954919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 FLORENCE BLVD",
            "address_2": "SUITE F",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302729",
            "telephone_number": "256-275-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 FLORENCE BLVD",
            "address_2": "SUITE F",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302729",
            "telephone_number": "256-275-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY D. ADAMS ET AL PTR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRINITY ORTHOTICS & PEDORTHICS",
        "enumeration_date": "2009-12-29",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DELANE",
        "authorized_official_title_or_position": "OWNER/PRACTIONER",
        "authorized_official_telephone_number": "256-275-3535",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "AL",
            "license": "72",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF ALABAMA",
            "identifier": "511-5872",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.