Individual provider Active NPI

Tracy Kreger

  • Occupational Therapist
  • Colorado Springs, CO
National Provider Identifier
1194046185
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2402 Issued in CO
Practice address
654 Glen Eyrie Cir
Colorado Springs, CO 80904-2139
Phone
(719) 634-4695
NPI assigned
Jun 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2402 CO Primary

Addresses

Primary practice location

654 Glen Eyrie Cir
Colorado Springs, CO 80904-2139

Mailing address

654 Glen Eyrie Cir
Colorado Springs, CO 80904-2139
Phone (719) 634-4695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181023000525 CO Practitioner - Occupational Therapist in Private Practice 0941553820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab for All LLCGroup PAC ID 2062729726, 3 clinicians

Practice addresses (Care Compare)

2285 Fremont Dr
Canon City, CO 81212-2533
Phone (719) 425-7771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2402COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab for All LLC Occupational Therapist CurrentSince Aug 22, 2018 Accepting new patients

Locations

2285 Fremont Dr
Canon City, CO 81212
Phone (719) 249-3620

2005 Aeroplaza Dr
Colorado Springs, CO 80916

401 Broadway Ave
Pueblo, CO 81004
Phone (719) 329-4208

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.

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1194046185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 GLEN EYRIE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042139",
            "telephone_number": "719-634-4695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 GLEN EYRIE CIR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809042139",
            "telephone_number": "719-634-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREGER",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "2402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.

Verify at the official NPI Registry.