Active NPI
Tracye Michele Rawls, GFI MS ATC
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
National Provider Identifier
1659848083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 000874-1
- Practice address
- One University Plaza
SHP HS 312
Brooklyn, NY 11201 - Phone
- (718) 780-4081
- NPI assigned
- Oct 24, 2018
- 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 |
|---|---|---|---|---|
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 000874-1 | NY | Primary |
Addresses
Primary practice location
One University Plaza
SHP HS 312
Brooklyn, NY 11201
Mailing address
One University Plaza
SHP HS 312
Brooklyn, NY 11201
Phone (718) 780-4081
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000874-1 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1659848083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE UNIVERSITY PLAZA",
"address_2": "SHP HS 312",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-780-4081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE UNIVERSITY PLAZA",
"address_2": "SHP HS 312",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-780-4081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWLS",
"first_name": "TRACYE",
"middle_name": "MICHELE",
"credential": "GFI MS ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-24",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "000874-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.