Tracy A Powers, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019534 Issued in MI

Practice address

11561 Edgerton Ave NE
Rockford, MI 49341-9150

Phone

(616) 866-2727

Fax

(676) 866-2729

NPI assigned

Nov 1, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Physiotherapy Associates, Inc.

  • Rehabilitation Clinic/Center
  • Waterford, MI
  • NPI 1679645295

  Physical Therapist

  Medicare reassignment NPD
• Physiotherapy Associates, Inc.

  • Physical Therapy Clinic/Center
  • Rockford, MI
  • NPI 1710638473

  Physical Therapist

  NPD
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1386156149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1795 ALYSHEBA WAY STE 3202",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092280",
            "telephone_number": "859-264-8868",
            "fax_number": "859-264-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11561 EDGERTON AVE NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419150",
            "telephone_number": "616-866-2727",
            "fax_number": "676-866-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007286",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Ponce-Resendiz
• Jane A Post, MD
• Peter Anthony Post, PT
• Mandy M Potter, D.O.
• Powerback Rehabilitation LLC
• Brittney Marquee Powrozek
• Prevos Family Markets LLC
• Kristen Ann Priem, BCBA
• Jonell Lorraine Puff, BEHAVIOR TECHNICIAN
• Purposed Life Counseling Services

• Physical Therapist in Rockford, MI
• Providers in Rockford, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.