Individual provider Active NPI

Tracy Pritchard, P.T.

  • Physical Therapist
  • Bradenton, FL
National Provider Identifier
1265734008
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT10905 Issued in FL
Practice address
3637 Cortez Rd W
Suite 103
Bradenton, FL 34210-3145
Phone
(941) 739-7828
Fax
(941) 739-7838
NPI assigned
Nov 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT10905 FL Primary

Addresses

Primary practice location

3637 Cortez Rd W
Suite 103
Bradenton, FL 34210-3145

Mailing address

3637 Cortez Rd W
Suite 103
Bradenton, FL 34210-3145
Phone (941) 739-7828

Other identifiers 1

IdentifierTypeStateIssuer
PT10905OtherFLDEPARTMENT OF HEALTH

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)
Enrolled

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
Bay Area Physical Therapy LLC Physical Therapist Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291075200000",
    "number": "1265734008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3637 CORTEZ RD W",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103145",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3637 CORTEZ RD W",
            "address_2": "SUITE 103",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342103145",
            "telephone_number": "941-739-7828",
            "fax_number": "941-739-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHARD",
        "first_name": "TRACY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT10905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PT10905",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.