Active NPI
Tracy L Spilker, OTR
- Occupational Therapist
- Kenosha, WI
National Provider Identifier
1386792679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3197-026
- Practice address
- 5219 88TH Ave
Kenosha, WI 53144-7468 - Phone
- (262) 653-0850
- NPI assigned
- Jan 5, 2007
- 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 Therapist | 225X00000X | 3197-026 | WI | Primary |
Addresses
Primary practice location
5219 88TH Ave
Kenosha, WI 53144-7468
Mailing address
148 Mill Ave
Union Grove, WI 53182-1901
Phone (262) 412-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40809000 | Medicaid | WV |
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 |
|---|---|---|---|
| 3197-026 | WI | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Touch Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1386792679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 MILL AVE",
"city": "UNION GROVE",
"state": "WI",
"postal_code": "531821901",
"telephone_number": "262-412-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5219 88TH AVE",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531447468",
"telephone_number": "262-653-0850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILKER",
"first_name": "TRACY",
"middle_name": "L",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "3197-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40809000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.