Individual provider Active NPI

Tracy Marie Shippee, OTR/L

  • Occupational Therapist
  • Platte City, MO
National Provider Identifier
1508114273
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2009032659 Issued in MO
Practice address
13825 Cole Trails
Platte City, MO 64079-9698
Phone
(816) 289-1548
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 17-02456 KS
Occupational Therapist 225X00000X 2009032659 MO Primary

Addresses

Primary practice location

13825 Cole Trails
Platte City, MO 64079-9698

Mailing address

13825 Cole Trails
Platte City, MO 64079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240709001686 MO Practitioner - Occupational Therapist in Private Practice 7113462607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 1St Capitol Dr
Apt 1
Saint Charles, MO 63301-1660
Phone (636) 242-1764

9101 N Ambassador Dr
Kansas City, MO 64154-7295
Phone (816) 631-0847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17-02456KSMDOccupational Therapist
2009032659MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Wellness Kansas City, LLC Occupational Therapist CurrentSince Jun 20, 2024 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Jun 20, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jun 20, 2024 Accepting new patients
Empowerme Rehabilitation Missouri LLC Occupational Therapist CurrentSince Jun 20, 2024 Accepting new patients

Locations

16255 Chesterfield Pkwy W
Chesterfield, MO 63017
Phone (636) 812-6942

6311 N Cosby Ave
Kansas City, MO 64151
Phone (816) 505-3030

1800 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 255-8094

2150 W Randolph St
Saint Charles, MO 63301
Phone (636) 946-4966

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1508114273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13825 COLE TRAILS",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "64079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13825 COLE TRAILS",
            "city": "PLATTE CITY",
            "state": "MO",
            "postal_code": "640799698",
            "telephone_number": "816-289-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPEE",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KS",
            "license": "17-02456",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2009032659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Platte City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.