Traci Lynn Duffield, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

TEOOO169L Issued in PA

Practice address

1000 W 27TH St
Hazleton, PA 18202-9604

Phone

(570) 454-8888

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366640922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 HUDSONDALE ST",
            "city": "WEATHERLY",
            "state": "PA",
            "postal_code": "182551308",
            "telephone_number": "570-427-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 27TH ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182029604",
            "telephone_number": "570-454-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFIELD",
        "first_name": "TRACI",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEOOO169L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Dinner, D.M.D.
• Rebecca Dipasquale, MSOTRL
• Renee Maria Dougherty, D.O.
• Thomas Raymond Dougherty
• Jennifer Lynn Drake, DNP, CRNP, NP-C
• Olivia Dworak, PHARMD
• East Coast Radiation Oncology PC
• Edward S Polashenski DO PC
• Aaron Matthew Eichhorst
• Elite Rehab Inc.

• Physical Therapy Assistant in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Physical Therapy Assistant in Pennsylvania

• 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.

Verify at the official NPI Registry.