Tracy E Conard, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

1300 Egg Harbor Rd Ste 152
Sturgeon Bay, WI 54235-1248

Phone

(920) 746-0410

NPI assigned

Aug 25, 2006

Last updated

Aug 5, 2024By the provider in NPPES

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

Other names 1

• Tracy E Wendricks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Door-Door County Library

  dba Door County Department of Health and Human Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sturgeon Bay, WI
  • NPI 1245265693
  NPD (past)
• Door County Memorial Hospital

  dba Door County Medical Center

  • Critical Access Hospital
  • Sturgeon Bay, WI
  • NPI 1093743874
  NPD (past)
• Door County Memorial Hospital

  dba DirectCare

  • Rural Health Clinic/Center
  • Sturgeon Bay, WI
  • NPI 1326748104
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1760599435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 S 18TH AVE",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351401",
            "telephone_number": "920-743-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 EGG HARBOR RD STE 152",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542351248",
            "telephone_number": "920-746-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONARD",
        "first_name": "TRACY",
        "middle_name": "E",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40781300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "WENDRICKS",
            "middle_name": "E",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clear View Optical, S.C.
• Candace Agress Cohen, M.D.
• Shane Frank Colvin, MD
• Community Clinic of Door County, Inc
• Community Clinic of Door County, Inc.
• David G Conger, MD
• Bernadette Conroy, RN, ANP-BC, CWCN
• Counseling Associates of Door County, LLC
• County of Door-Door County Library (Door County Emergency Services)
• County of Door-Door County Library (Door County Department of Health and Human Services)

• Occupational Therapist in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.