NPIMap

Organization Active NPI

Tracy Hand & Occupational Therapy

  • Durable Medical Equipment & Medical Supplies
  • Kalispell, MT
National Provider Identifier
1730394651
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
178 Issued in MT
Legal business name
TRACY HAND & OCCUPATIONAL THERAPY
Practice address
111 Sunnyview LN Ste C
Kalispell, MT 59901-3164
Phone
(406) 752-7581
Fax
(406) 752-7584
NPI assigned
May 14, 2007
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
Mr. Timothy M Tracy, OT
Title
Owner
Phone
(406) 752-7581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 178 MT Primary

Addresses

Primary practice location

111 Sunnyview LN Ste C
Kalispell, MT 59901-3164

Mailing address

111 Sunnyview LN Ste C
Kalispell, MT 59901-3164
Phone (406) 752-7581

Other identifiers 1

IdentifierTypeStateIssuer
0345117MedicaidMT

National Provider Directory

National Provider Directory

Locations

111 Sunnyview Ln
Ste C
Kalispell, MT 59901
Phone (406) 752-7581

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1730394651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LN STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013164",
            "telephone_number": "406-752-7581",
            "fax_number": "406-752-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LN STE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013164",
            "telephone_number": "406-752-7581",
            "fax_number": "406-752-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY HAND & OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-752-7581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MT",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0345117",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.