Active NPI
Tracy Fate
- Massage Therapist
- Surprise, AZ
National Provider Identifier
1295226298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT-15483
- Practice address
- 15455 W Bell Rd
Surprise, AZ 85374-3411 - Phone
- (623) 694-7222
- NPI assigned
- May 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15483 | AZ | |
| Massage Therapist | 225700000X | MT-15483 | AZ | Primary |
Addresses
Primary practice location
15455 W Bell Rd
Surprise, AZ 85374-3411
Mailing address
16643 W Quail Run Rd
Surprise, AZ 85387-6280
Phone (623) 694-7222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15483 | AZ | MD | Orthopaedic Surgery Physician |
| MT-15483 | AZ | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1295226298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16643 W QUAIL RUN RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853876280",
"telephone_number": "623-694-7222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15455 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743411",
"telephone_number": "623-694-7222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FATE",
"first_name": "TRACY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-24",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "15483",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AZ",
"license": "MT-15483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.