Tracy Renee Berry, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1439 Issued in AK

Practice address

4600 Business Park Blvd # D24
Anchorage, AK 99503-7142

Phone

(907) 561-1478

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Alaska Pediatric Therapy

  • Physical Therapy Clinic/Center
  • Anchorage, AK
  • NPI 1730472168
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1689942427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1478",
            "fax_number": "888-552-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 BUSINESS PARK BLVD # D24",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037142",
            "telephone_number": "907-561-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "TRACY",
        "middle_name": "RENEE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1577369",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christy Berrier
• Shanna Naomi Berry-Vo, DO
• Bethany Richardson Berry, CNM, MSN, SANE
• Jena Berry
• Keith Berry, APRN
• William G Berry, OT
• James N Bertelson, MD
• Lindsay Caitlin Marie Berto
• Misty Anne Bertram, RN
• Brittany Michelle Bertrand, MS

• Occupational Therapist in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.