Active NPI
Christina Tracy, OTL
- Occupational Therapist
- Granville, OH
National Provider Identifier
1326438342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-05045
- Practice address
- 101 Lincliff Dr
Granville, OH 43023-9157 - Phone
- (614) 218-6050
- NPI assigned
- Jan 28, 2015
- 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 Therapist | 225X00000X | OT-05045 | OH | Primary |
Addresses
Primary practice location
101 Lincliff Dr
Granville, OH 43023-9157
Mailing address
101 Lincliff Dr
Granville, OH 43023-9157
Phone (614) 218-6050
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 |
|---|---|---|---|
| OT-05045 | OH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1326438342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 LINCLIFF DR",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239157",
"telephone_number": "614-218-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 LINCLIFF DR",
"city": "GRANVILLE",
"state": "OH",
"postal_code": "430239157",
"telephone_number": "614-218-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "CHRISTINA",
"credential": "OTL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-28",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "OT-05045",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Granville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.