Active NPI
Tracy Leavelle Reed, DPT
- Physical Therapist
- Tuscaloosa, AL
National Provider Identifier
1407101306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6469
- Practice address
- 1781B Commons North Loop
Tuscaloosa, AL 35406-3577 - Phone
- (205) 752-0845
- Fax
- (205) 752-0866
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH6469 | AL | Primary |
Addresses
Primary practice location
1781B Commons North Loop
Tuscaloosa, AL 35406-3577
Mailing address
199 N Brookmoore Drive
Columbus, MS 39705-2024
Phone (662) 327-6705
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003819608 | Other | AL | GROUP NPI |
| 529917620 | Medicaid | AL |
Other names 1
- Tracy D Leavelle
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encore Rehabilitation Inc | Past | Accepting new patients | |
| Encore Rehabilitation Inc | Past | Accepting new patients | |
| Encore Rehabilitation Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Theodore, AL
- NPI 1043346380
-
- Physical Therapy Clinic/Center
- Robertsdale, AL
- NPI 1720114614
-
- Physical Therapy Clinic/Center
- Mobile, AL
- NPI 1750417002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1407101306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 N BROOKMOORE DRIVE",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397052024",
"telephone_number": "662-327-6705",
"fax_number": "662-327-6760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781B COMMONS NORTH LOOP",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354063577",
"telephone_number": "205-752-0845",
"fax_number": "205-752-0866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "TRACY",
"middle_name": "LEAVELLE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1003819608",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529917620",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "LEAVELLE",
"middle_name": "D",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.