Traci Danette Berry, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

13855 Issued in NC

Practice address

5645 Clearsprings Dr
Wake Forest, NC 27587-8289

Phone

(571) 236-2667

NPI assigned

Dec 12, 2016

Last updated

Jul 6, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Traci Danette Berry Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Abilitations Children's Therapy & Wellness Center

  • Physical Therapist
  • Raleigh, NC
  • NPI 1356510945

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1619411550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5645 CLEARSPRINGS DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878289",
            "telephone_number": "571-236-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5645 CLEARSPRINGS DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878289",
            "telephone_number": "571-236-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11030 Raven Ridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276148512",
            "country_code": "US",
            "telephone_number": "919-844-6611",
            "fax_number": "919-844-6612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TRACI",
        "middle_name": "DANETTE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "13855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "BERRY",
            "middle_name": "DANETTE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Erik Berg, PHARMD
• Colleen T Bergren, LMHC LCMHC
• Karl R Bernat Jr., M.D.
• Caroline R. Berry, OTR/L
• Jenna Alyse Berry
• Best Physical Therapy, LLC (Loop Nutrition)
• Rebekah Best, DDS
• Charmaine Margaret Bester, DC
• Erilda Taragjini Betz, PHARMD
• Stephanie Nicole Biggs Ayers, OTR/L

• Speech-Language Pathologist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.