Active NPI
Tracy Segal, OTR/L
- Physical Rehabilitation Occupational Therapist
- Maple Glen, PA
National Provider Identifier
1598024614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OC003876L
- Practice address
- 1609 Brittany Dr
Maple Glen, PA 19002-3152 - Phone
- (215) 540-8584
- NPI assigned
- May 9, 2012
- Last updated
- May 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OC003876L | PA | Primary |
Addresses
Primary practice location
1609 Brittany Dr
Maple Glen, PA 19002-3152
Mailing address
1609 Brittany Dr
Maple Glen, PA 19002-3152
Phone (215) 540-8584
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Young Enterprises | Past | Accepting new patients | |
| Young Enterprises | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Chester Springs, PA
- NPI 1619073624
-
- Assisted Living Facility
- Feasterville, PA
- NPI 1922457597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336521600000",
"number": "1598024614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1609 BRITTANY DR",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190023152",
"telephone_number": "215-540-8584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 BRITTANY DR",
"city": "MAPLE GLEN",
"state": "PA",
"postal_code": "190023152",
"telephone_number": "215-540-8584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGAL",
"first_name": "TRACY",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-09",
"last_updated": "2012-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "PA",
"license": "OC003876L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Glen, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.