Active NPI
Tracie Sherry Lynch, PT
- Physical Therapist
- Kernersville, NC
National Provider Identifier
1437586575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14317
- Practice address
- 1130D Snow Bridge LN
Kernersville, NC 27284 - Phone
- (336) 904-0467
- Fax
- (336) 497-3072
- NPI assigned
- Oct 3, 2013
- Last updated
- Aug 13, 2018
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14317 | NC | Primary |
Addresses
Primary practice location
1130D Snow Bridge LN
Kernersville, NC 27284
Mailing address
1125 Pine Knolls Rd
Kernersville, NC 27284-8232
Phone (336) 404-1684
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 |
|---|---|---|---|
| 14317 | NC | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Propel Pediatric Therapy | Physical Therapist | Past | Accepting new patients |
| Propel Pediatric Therapy | Past | Accepting new patients |
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.
-
- Physical Therapist
- Kernersville, NC
- NPI 1023569464
-
- Pediatric Physical Therapist
- Kernersville, NC
- NPI 1992007546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1437586575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1125 PINE KNOLLS RD",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272848232",
"telephone_number": "336-404-1684",
"fax_number": "336-497-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130D SNOW BRIDGE LN",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "27284",
"telephone_number": "336-904-0467",
"fax_number": "336-497-3072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYNCH",
"first_name": "TRACIE",
"middle_name": "SHERRY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "14317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.