Tracy A Kimball, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP006498 Issued in PA

Practice address

651 Maurice St
York, PA 17404-1394

Phone

(717) 433-5747

NPI assigned

Feb 16, 2011

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

Other names 1

• Tracy Anne Elliott Professional name

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": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1467759142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 MAURICE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041394",
            "telephone_number": "877-312-6576",
            "fax_number": "814-506-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 MAURICE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174041394",
            "telephone_number": "717-433-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "TRACY",
        "middle_name": "A",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP006498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ELLIOTT",
            "middle_name": "ANNE",
            "credential": "COTA/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Andrea Doris Kim, MD
• Edward S Kim, D.O.
• Erich N Kim, MD
• Hyungsoo Kim, D.M.D.
• John Myungjoong Kim, CRNA
• Edwin Kimko, MD
• Barbara Ann Kimpel, RPH
• Yuko Kimura, ATC
• Kari Michele Kinard, CRNP
• Jennifer Ashley Kincaid

• Occupational Therapy Assistant in York, PA
• Providers in York, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.