Ty N Tracy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2805 Issued in OH

Practice address

444 N Stone St
Fremont, OH 43420-1530

Phone

(419) 334-7737

Fax

(419) 334-2528

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Woodville Professional Healthcare LLC

  • Chiropractor
  • Fremont, OH
  • NPI 1780866525
  Medicare reassignment NPD Authorized official
• PT Link LLC

  • Physical Therapist
  • Toledo, OH
  • NPI 1902149990

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1326060666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N STONE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201530",
            "telephone_number": "419-334-7737",
            "fax_number": "419-334-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N STONE ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201530",
            "telephone_number": "419-334-7737",
            "fax_number": "419-334-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "TY",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000362534",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7139412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117220",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Marie Tisdel, STNA
• Abbie Lynn Tommer
• Teri Tooman, RPH
• Grace Tourney
• Tracy Lyn Holland LPN
• Transpire Mental Health
• Transpire Mental Health
• Ryan Jeffrey Travis, M.D.
• Trilogy Healthcare of Sandusky, LLC
• Natashia Trimble, RN

• Chiropractor in Fremont, OH
• Providers in Fremont, OH by specialty
• Chiropractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.