Individual provider Active NPI

Tracy Diane Hand, OTR/L

  • Occupational Therapist
  • Downers Grove, IL
National Provider Identifier
1205588019
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
05.014614 Issued in IL
Practice address
3140 Finley Rd Ste 400D
Downers Grove, IL 60515-1376
Phone
(734) 904-4420
NPI assigned
Jan 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 05.014614 IL Primary

Addresses

Primary practice location

3140 Finley Rd Ste 400D
Downers Grove, IL 60515-1376

Mailing address

3260 Bromley LN
Aurora, IL 60502-6528
Phone (734) 904-4420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220218002067 IL Practitioner - Occupational Therapist in Private Practice 7911391875 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05.014614ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tryability LLC CurrentSince Feb 11, 2022 Accepting new patients

Locations

3050 Finley Rd
Ste 301
Downers Grove, IL 60515
Phone (331) 775-2813

3140 Finley Rd
Ste 400D
Downers Grove, IL 60515
Phone (331) 775-2813

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": "1642896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642896000000",
    "number": "1205588019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 BROMLEY LN",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605026528",
            "telephone_number": "734-904-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 FINLEY RD STE 400D",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151376",
            "telephone_number": "734-904-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAND",
        "first_name": "TRACY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "05.014614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.