Individual provider Active NPI

Tracy M Law, M.P.T.

  • Physical Therapist
  • Americus, GA
National Provider Identifier
1790783785
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007303 Issued in GA
Practice address
205 E Lamar St
Americus, GA 31709-3632
Phone
(229) 924-9595
Fax
(229) 924-9540
NPI assigned
Jul 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007303 GA Primary

Addresses

Primary practice location

205 E Lamar St
Americus, GA 31709-3632

Mailing address

205 E Lamar St
Americus, GA 31709-3632
Phone (229) 924-9595

Other identifiers 2

IdentifierTypeStateIssuer
373629458AMedicaidGA
373629458BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190129003104 GA Practitioner - Physical Therapist in Private Practice 6901719582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Medical College of Georgia School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Accelerated Physical Therapy, Inc.Group PAC ID 1153234711, 3 clinicians

Practice addresses (Care Compare)

205 E Lamar St
Americus, GA 31709-3632
Phone (229) 924-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007303GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Accelerated Physical Therapy, Inc. Physical Therapist CurrentSince Aug 1, 2003 Accepting new patients

Locations

205 E Lamar St
Americus, GA 31709
Phone (229) 924-5038

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1790783785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093632",
            "telephone_number": "229-924-9595",
            "fax_number": "229-924-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E LAMAR ST",
            "city": "AMERICUS",
            "state": "GA",
            "postal_code": "317093632",
            "telephone_number": "229-924-9595",
            "fax_number": "229-924-9540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAW",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "007303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373629458A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373629458B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Americus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.