Timothy R Tracy, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2011020510 Issued in MO

Practice address

1420 W Ashley Rd
Boonville, MO 65233-2112

Phone

(660) 882-6115

NPI assigned

Aug 22, 2011

Sex

Male

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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Physioroom, LLCGroup PAC ID 0941552863, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• The Physioroom, LLC

  • Orthopedic Physical Therapist
  • Highlands Ranch, CO
  • NPI 1841786233
  Medicare reassignment Care Compare group NPD
• The Physioroom, LLC

  • Orthopedic Physical Therapist
  • Littleton, CO
  • NPI 1003529082
  NPD
• The Physioroom, LLC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1366215147
  NPD

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313971200000",
    "number": "1598045536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332112",
            "telephone_number": "660-882-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W ASHLEY RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652332112",
            "telephone_number": "660-882-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "TIMOTHY",
        "middle_name": "R",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2011020510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Nicole Tate, P.T.
• Theresea Open Arms
• Michael Thompson, D.C.
• Shelby B Thompson, MSW, LMSW
• James S Thornbrugh, LPC
• United Care Transport, LLC
• Unlimited Opportunities Inc
• Unlimited Opportunities Inc.
• Unlimited Opportunities Inc.
• Unlimited Opportunities Inc.

• Physical Therapist in Boonville, MO
• Providers in Boonville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; 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.