Active NPI
Kari Tracy, OT
- Occupational Therapist
- Goshen, NY
National Provider Identifier
1578960597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 019195-1
- Practice address
- 2 Fletcher St
Goshen, NY 10924-1402 - Phone
- (845) 294-8806
- Fax
- (845) 294-8650
- NPI assigned
- Nov 20, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 019195-1 | NY | Primary |
Addresses
Primary practice location
2 Fletcher St
Goshen, NY 10924-1402
Mailing address
2 Fletcher St
Goshen, NY 10924-1402
Phone (845) 294-8806
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019195 | NY | MD | Clinical Psychologist |
| 019195-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416441600000",
"number": "1578960597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FLETCHER ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241402",
"telephone_number": "845-294-8806",
"fax_number": "845-294-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FLETCHER ST",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109241402",
"telephone_number": "845-294-8806",
"fax_number": "845-294-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "KARI",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-20",
"last_updated": "2014-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "019195-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.