Individual provider Active NPI

Kortney Trace

  • Occupational Therapy Assistant
  • Canton, OH
National Provider Identifier
1679480982
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
446976
Practice address
305 McKinley Ave NW
Canton, OH 44702-1717
Phone
(330) 438-2500
NPI assigned
Aug 25, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 446976 Primary

Addresses

Primary practice location

305 McKinley Ave NW
Canton, OH 44702-1717

Mailing address

5960 Elmdale St NW
Canton, OH 44718-1122
Phone (330) 447-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1679480982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5960 ELMDALE ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447181122",
            "telephone_number": "330-447-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 MCKINLEY AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021717",
            "telephone_number": "330-438-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACE",
        "first_name": "KORTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "446976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.