Tracey Lynn Anderson, OTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA17658 Issued in FL

Practice address

7045 Evergreen Woods TRL
Spring Hill, FL 34608-1306

Phone

(352) 596-8371

NPI assigned

Sep 21, 2021

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1487325403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 HIGH POINT CIR APT 1",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346681920",
            "telephone_number": "173-467-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7045 EVERGREEN WOODS TRL",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346081306",
            "telephone_number": "352-596-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TRACEY",
        "middle_name": "LYNN",
        "credential": "OTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA17658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleftheria Anderson
• Jamie Anderson
• Kenneth Leroy Anderson III, D.D.S.
• Noah Anderson, MD
• Scott Robert Anderson, MD
• William John Anderson, DC
• Brittany Ann Andino, PT, DPT
• Stephanie S Andrews, MS,CCC-SLP
• Anemone Emergency Physicians, LLC
• Angel Oak

• Occupational Therapy Assistant in Spring Hill, FL
• Providers in Spring Hill, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.