Tracie Kearns

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

46TA09010100 Issued in NJ

Practice address

1120 Alps Rd
Wayne, NJ 07470-3704

Phone

(845) 742-4530

NPI assigned

Dec 15, 2017

Last updated

Dec 15, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1513296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513296000000",
    "number": "1629584453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 RAMAPO CT",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571664",
            "telephone_number": "845-742-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 ALPS RD",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703704",
            "telephone_number": "845-742-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "TRACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-15",
        "last_updated": "2017-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09010100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rupinder Kaur
• Alae Kawam
• Isabelle Murray Kayal, LPC
• Kba Physio Rehab LLC
• John J Kearney, MD
• Nancy Keil
• Andrew Kelley, PT, DPT, CSCS
• Julia Kelly, M.S. CCC-SLP
• Lisa-Ann Kelly
• Maureen E Kelly

• Occupational Therapy Assistant in Wayne, NJ
• Providers in Wayne, NJ by specialty
• Occupational Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2017; 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.