Tracy Lynn Gummoe, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005318 Issued in MO

Practice address

550 White Rd
Chesterfield, MO 63017-2316

Phone

(314) 628-6101

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457569238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SUNS UP WAY",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630312787",
            "telephone_number": "314-830-1556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WHITE RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172316",
            "telephone_number": "314-628-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMMOE",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "005318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha L Grote, SLP
• Kimberly C Grunzinger, MSN, RN, ACNS-BC
• Devon Brooke Guckes, MSED, ATC
• William J Gueck, M.D.
• Gregory F Guenther, R.PH,.
• Marlee Gunn-Coleman
• Santosh Gupta, MD
• Judith M. Gurley, M.D., F.A.C.S.
• Rosita Justo Guzon, M.D.
• H K Internal Medicine Associates L.L.C.

• Occupational Therapy Assistant in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Occupational Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.