Individual provider Active NPI

Tracey Leigh Zeiner, OTD, OTR/L

  • Occupational Therapist
  • Fort Smith, AR
National Provider Identifier
1265708945
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR526 Issued in AR
Practice address
7006 Chad Colley Blvd
Fort Smith, AR 72916-6024
Phone
(479) 401-6043
NPI assigned
Mar 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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 OTR526 AR Primary

Addresses

Primary practice location

7006 Chad Colley Blvd
Fort Smith, AR 72916-6024

Mailing address

9818 Mount Zion Rd
Hackett, AR 72937-4027
Phone (501) 350-9358

Other identifiers 1

IdentifierTypeStateIssuer
130421721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTR526ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Friendship Community Care Inc. PastSince Nov 2, 2019 Accepting new patients

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": "1332892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1265708945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9818 MOUNT ZION RD",
            "city": "HACKETT",
            "state": "AR",
            "postal_code": "729374027",
            "telephone_number": "501-350-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 CHAD COLLEY BLVD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729166024",
            "telephone_number": "479-401-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEINER",
        "first_name": "TRACEY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130421721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.