Individual provider Active NPI

Tracy Lowery, OTR/L

  • Occupational Therapist
  • Las Cruces, NM
National Provider Identifier
1417021080
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1636 Issued in NM
Practice address
1090 Med Park Dr
Las Cruces, NM 88005-3236
Phone
(575) 523-7243
Fax
(575) 525-5641
NPI assigned
Nov 17, 2006
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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 OT1636 NM Primary

Addresses

Primary practice location

1090 Med Park Dr
Las Cruces, NM 88005-3236

Mailing address

301 Perkins Dr
Suite C
Las Cruces, NM 88005-3248
Phone (575) 523-7243

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

LicenseStateTypeSpecialty
1636NMMDContractor
OT1636NMMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Therapy Services, LLP Specialist CurrentSince Mar 27, 2022 Accepting new patients
Protherapy Inc Occupational Therapist Past Accepting new patients

Locations

1090 Med Park Dr
Las Cruces, NM 88005
Phone (575) 523-7243

301 Perkins Dr
Ste C
Las Cruces, NM 88005
Phone (575) 523-7243

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1417021080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 PERKINS DR",
            "address_2": "SUITE C",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053248",
            "telephone_number": "575-523-7243",
            "fax_number": "575-525-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 MED PARK DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053236",
            "telephone_number": "575-523-7243",
            "fax_number": "575-525-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "TRACY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NM",
            "license": "OT1636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.