NPIMap

Organization Active NPI

Tracy Geist Therapy Services

  • Early Intervention Provider Agency
  • Palmerton, PA
National Provider Identifier
1285930669
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
SL004744L Issued in PA
Legal business name
TRACY GEIST THERAPY SERVICES
Practice address
945 Walnut Dr
Palmerton, PA 18071-6569
Phone
(610) 393-7980
Fax
(610) 377-9125
NPI assigned
Feb 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Ms. Tracy Diana Geist, M.S.,C.C.C-SLP/LNPI 1699892588
Title
Administrator
Phone
(610) 393-7980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X SL004744L PA Primary

Addresses

Primary practice location

945 Walnut Dr
Palmerton, PA 18071-6569

Mailing address

945 Walnut Dr
Palmerton, PA 18071-6569
Phone (610) 393-7980

Other identifiers 2

IdentifierTypeStateIssuer
1024266460001MedicaidPA
1024266460002MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1285930669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 WALNUT DR",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180716569",
            "telephone_number": "610-393-7980",
            "fax_number": "610-377-9125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 WALNUT DR",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180716569",
            "telephone_number": "610-393-7980",
            "fax_number": "610-377-9125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY GEIST THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-02",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "GEIST",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "DIANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-393-7980",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.,C.C.C-SLP/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "PA",
            "license": "SL004744L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024266460001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024266460002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

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