Active NPI
Tracy Connolly, MS SPECIAL ED
- Specialist
- Orchard Park, NY
National Provider Identifier
1306108188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 6167 West Quaker Street
Therapeutic Link for Children
Orchard Park, NY 14127 - Phone
- (716) 662-4800
- Fax
- (716) 662-5700
- NPI assigned
- Jun 8, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
6167 West Quaker Street
Therapeutic Link for Children
Orchard Park, NY 14127
Mailing address
6167 West Quaker Street
Therapeutic Link for Children
Orchard Park, NY 14127
Phone (716) 662-4800
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Link for Children, PLLC | Past | Accepting new patients | |
| Therapeutic Link for Children | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1972784221
-
- Early Intervention Provider Agency
- Orchard Park, NY
- NPI 1508222498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1306108188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6167 WEST QUAKER STREET",
"address_2": "THERAPEUTIC LINK FOR CHILDREN",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-662-4800",
"fax_number": "716-662-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6167 WEST QUAKER STREET",
"address_2": "THERAPEUTIC LINK FOR CHILDREN",
"city": "ORCHARD PARK",
"state": "NY",
"postal_code": "14127",
"telephone_number": "716-662-4800",
"fax_number": "716-662-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOLLY",
"first_name": "TRACY",
"credential": "MS SPECIAL ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orchard Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.