Robin Catherine Tracy, PT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

972 Issued in ND

Practice address

1425 S Columbia Rd
Grand Forks, ND 58201-4039

Phone

(701) 746-8374

Fax

(701) 780-0885

NPI assigned

Oct 23, 2006

Last updated

Sep 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achieve Therapy LLC

  dba Achieve Therapy

  • Physical Therapist
  • Grand Forks, ND
  • NPI 1013009232
  Medicare reassignment NPD
• Elevate Physical Therapy and Performance, LLC

  • Physical Therapy Clinic/Center
  • Grand Forks, ND
  • NPI 1497216246
  NPD Authorized official
• Achieve Therapy LLC

  • Physical Therapist
  • Park River, ND
  • NPI 1063850436
  NPD
• Achieve Therapy LLC

  • Physical Therapist
  • East Grand Forks, MN
  • NPI 1003145376
  NPD
• Achieve Therapy LLC

  dba Achieve Therapy of Park Rapids

  • Physical Therapist
  • East Grand Forks, MN
  • NPI 1407919210
  NPD

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1205919198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX I",
            "city": "PARK RIVER",
            "state": "ND",
            "postal_code": "582700708",
            "telephone_number": "701-284-4570",
            "fax_number": "701-284-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014039",
            "telephone_number": "701-746-8374",
            "fax_number": "701-780-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Briggs Ave S",
            "address_purpose": "LOCATION",
            "city": "Park River",
            "state": "ND",
            "postal_code": "582704022",
            "country_code": "US",
            "telephone_number": "701-284-6707",
            "fax_number": "701-284-6056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACY",
        "first_name": "ROBIN",
        "middle_name": "CATHERINE",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "972",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "ND",
            "license": "137-94",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54206",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND PT",
            "identifier": "12670",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN PT",
            "identifier": "7B137PA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE GROUP # PT",
            "identifier": "1013166",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50668",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125177500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jazmine Aleah Torres
• Geneva Toscano
• Kyleigh Toso
• Total Skin Dermatology & Aesthetics
• Brittany Rose Tovar, FNP-BC
• Duc Van Tran, D.D.S.
• Sarah Traser, APRN
• Trazar Community Care 3 LLC (Trazar Community Care Inc)
• Cheryl Tredway, LPCC, LCPC
• Tree of Life Home Care Services, LLC

• Physical Therapist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Physical Therapist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.