Tracy Rehabilitative Services, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4228 Issued in OK

Legal business name

TRACY REHABILITATIVE SERVICES, PC

Practice address

1802 Riviera Dr
Tuttle, OK 73089-8109

Phone

(405) 626-8701

NPI assigned

Jan 28, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Megan Dee Tracy, M.S.CCC-SLPNPI 1205167368

Title

Owner/President

Phone

(405) 626-8701

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Megan Dee Tracy, M.S.CCC-SLP

  • Speech-Language Pathologist
  • Elk City, OK
  • NPI 1205167368
  NPD (past) Authorized official

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1396076527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 RIVIERA DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898109",
            "telephone_number": "405-626-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 RIVIERA DR",
            "city": "TUTTLE",
            "state": "OK",
            "postal_code": "730898109",
            "telephone_number": "405-626-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY REHABILITATIVE SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "405-626-8701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4228",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine Body & Soul Chiropractic LLC
• Mark Daniel Stevens
• Tammy Stone, MS, CCC-SLP
• The Star Pharmacy
• Kelly Lange Torrez
• Tuttle Public Schools 26-I 097
• Urgent Medcare Clinic
• Julie B Utley, PA
• Vibrant Life Direct Care, PLLC
• Elizabeth Warden

• Professional Counselor in Tuttle, OK
• Providers in Tuttle, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.