Active NPI
Traci Tara Harrisonmadge, COTAL
- Occupational Therapy Assistant
- Raytown, MO
National Provider Identifier
1326246646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2006012245
- Practice address
- 7902 Arlington Ave
Raytown, MO 64138-1901 - Phone
- (816) 337-2441
- NPI assigned
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 2006012245 | MO | Primary |
Addresses
Primary practice location
7902 Arlington Ave
Raytown, MO 64138-1901
Mailing address
7902 Arlington Ave
Raytown, MO 64138-1901
Phone (816) 337-2441
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 |
|---|---|---|---|
| 2006012245 | MO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326246646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7902 ARLINGTON AVE",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641381901",
"telephone_number": "816-337-2441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7902 ARLINGTON AVE",
"city": "RAYTOWN",
"state": "MO",
"postal_code": "641381901",
"telephone_number": "816-337-2441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISONMADGE",
"first_name": "TRACI",
"middle_name": "TARA",
"name_prefix": "Mrs.",
"credential": "COTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MO",
"license": "2006012245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raytown, MO
- Shantel Nico Hams, LPC
- Hands of Angels Homecare
- Tamika Hanks, LPC
- Shelby Dawn Hansard, LCSW, LSCSW
- Scott Gregory Harnden, OTR/L, CHT
- Harry S. Truman Childrens Neurological Center
- Vickie Marie Hart-Peterson, COTA/L
- Jeffrey Alan Harter, O.D.
- Tameya L Hartwell
- Healing Connections Psychological Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.