Tracy Catherine Strom, COTA
Individual provider Active NPI Occupational Therapy Assistant · Augusta, WI
NPI 1508064197 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508064197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1685-027 (WI)
- Practice address
- 215 E Brown St
Augusta, WI 54722-9346 - Phone
- (715) 286-2266
- NPI assigned
- Jul 5, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1685-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1685-027 | WI | Yes |
Addresses
Primary practice location
215 E Brown St
Augusta, WI 54722-9346
Mailing address
3120 Venus Ave
Eau Claire, WI 54703-0919
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40899100 | Medicaid | WI |
Other providers in Augusta, WI
- Dennis Eugene Severson
- Courtney Sue Spaeth
- Beth Marie Stange
- Ila Steinke
- Jessica A Stensen
- The Lakes Community Health Center, Inc
- Kayla Turpin
- University of Wisconsin Medical Foundation
- Katherine Wang
- Jodi Ann Pawlik Weisenbeck
All providers in Augusta, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.