Tracie Ann Sparks, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9260 Issued in NC

Practice address

2600 Old Cherry Point Rd
New Bern, NC 28560-6778

Phone

(252) 672-1644

Fax

(252) 672-5034

NPI assigned

May 30, 2008

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

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  NC, Physical Therapist

  Medicare reassignment NPD
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD
• Innovative Therapy Services LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1891026803
  NPD (past)
• Lasa LLC

  • Physical Therapist
  • New Bern, NC
  • NPI 1083797385
  NPD (past)
• Tracy Ingram McGowan

  • Geriatric Physical Therapist
  • New Bern, NC
  • NPI 1912100439
  NPD (past)

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1740448356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3397",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285643397",
            "telephone_number": "252-672-1644",
            "fax_number": "252-672-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD CHERRY POINT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285606778",
            "telephone_number": "252-672-1644",
            "fax_number": "252-672-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "TRACIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southmountain Children and Family Services
• Cortney Claressia Sowers, MSW, LCSWA
• Catherine Et Spain, LCSW
• Rebecca Sparacio, BCBA
• Shannon Shumate Sparks, PA-C
• Speech Bridge, PLLC
• Kenisha Denisha Speller
• Ayesha Spencer
• Spot on Therapy Center PLLC
• Amanda Sprouse

• Physical Therapist in New Bern, NC
• Providers in New Bern, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.