Active NPI
Tracie Ward, COTA/L
- Occupational Therapy Assistant
- Bronx, NY
National Provider Identifier
1336596535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 008940-1
- Practice address
- 2336 Andrews Ave
2ND Floor
Bronx, NY 10468-6001 - Phone
- (718) 561-5305
- NPI assigned
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 008940-1 | NY | Primary |
Addresses
Primary practice location
2336 Andrews Ave
2ND Floor
Bronx, NY 10468-6001
Mailing address
187 Filors LN
Stony Point, NY 10980-2624
Phone (845) 591-2396
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 |
|---|---|---|---|
| 008940-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1336596535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 FILORS LN",
"city": "STONY POINT",
"state": "NY",
"postal_code": "109802624",
"telephone_number": "845-591-2396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 ANDREWS AVE",
"address_2": "2ND FLOOR",
"city": "BRONX",
"state": "NY",
"postal_code": "104686001",
"telephone_number": "718-561-5305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "TRACIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "NY",
"license": "008940-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.