Active NPI
Sarah C. Tracy
- Speech-Language Pathologist
- Lexington, SC
National Provider Identifier
1447768353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7345
- Practice address
- 460 Pin Oak Dr
Lexington, SC 29073-7916 - Phone
- (180) 371-4344
- NPI assigned
- Jan 12, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 17-32737 | SC | |
| Speech-Language Pathologist | 235Z00000X | 7345 | SC | Primary |
Addresses
Primary practice location
460 Pin Oak Dr
Lexington, SC 29073-7916
Mailing address
460 Pin Oak Dr
Lexington, SC 29073-7916
Phone (803) 714-3446
Other practice location 1
1048 Wildwood Centre Dr
Columbia, SC 29229-8420
Phone (803) 999-3752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17-32737 | SC | MD | Behavior Technician |
| 7345 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Integrated Therapy Centers, LLC | Current | Accepting new patients | |
| Meaningful Milestones LLC | Behavior Technician | Past | Accepting new patients |
Locations
2005 E Greenville St
Ste 119
Anderson, SC 29621
Phone (864) 512-7023
1007 Grove Rd
#A
Greenville, SC 29605
1007 Grove Rd
#C
Greenville, SC 29605
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 and National Provider Directory roles.
-
- Physical Therapist
- Greenville, SC
- NPI 1184673600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648598400000",
"number": "1447768353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 PIN OAK DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737916",
"telephone_number": "803-714-3446",
"fax_number": "803-824-6189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 PIN OAK DR",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290737916",
"telephone_number": "180-371-4344"
}
],
"practiceLocations": [
{
"address_1": "1048 Wildwood Centre Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292298420",
"country_code": "US",
"telephone_number": "803-999-3752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACY",
"first_name": "SARAH",
"middle_name": "C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-12",
"last_updated": "2022-03-30",
"certification_date": "2022-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "17-32737",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "7345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.