Individual provider Active NPI

Tracy Lyn Sugalski, OTR

  • Occupational Therapist
  • Sunnyvale, CA
National Provider Identifier
1376755660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9113 Issued in CA
Practice address
1150 Tilton Dr
Sunnyvale, CA 94087-2440
Phone
(408) 735-7200
NPI assigned
May 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9113 CA Primary

Addresses

Primary practice location

1150 Tilton Dr
Sunnyvale, CA 94087-2440

Mailing address

1405 Van Ness Ave Apt 210
San Francisco, CA 94109-4644
Phone (412) 719-8659

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376755660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 VAN NESS AVE APT 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094644",
            "telephone_number": "412-719-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 TILTON DR",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940872440",
            "telephone_number": "408-735-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGALSKI",
        "first_name": "TRACY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "9113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyvale, CA

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.

Verify at the official NPI Registry.