Tracy Allison Brauner, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

0119004507 Issued in VA

Practice address

4315 Chain Bridge Rd
Fairfax, VA 22030-3061

Phone

(703) 934-5000

NPI assigned

May 2, 2011

Last updated

May 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304294400000",
    "number": "1245521772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14085 TROUVILLE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336246963",
            "telephone_number": "813-789-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 CHAIN BRIDGE RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303061",
            "telephone_number": "703-934-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUNER",
        "first_name": "TRACY",
        "middle_name": "ALLISON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-02",
        "last_updated": "2011-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "VA",
            "license": "0119004507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nigel Brake
• Pamela Brandt, DO
• Esmie G Branner, MSW., PHD.
• Antoine Rashad Brantley
• Queena Singh Brar, O.D.
• Bravadas Fairfax LLC (Bravadas Wig Design)
• Bravadas of Fairfax LLC (Bravadas wigs & Extensions)
• Bravely Minded LLC
• Bravo Homecare LLC
• Emily Stone Bravo, PA-C

• Gerontology Occupational Therapist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Gerontology Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.