Active NPI
Traci L Wright, OTR/L
- Occupational Therapist
- Columbus, MS
National Provider Identifier
1821080185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1211
- Practice address
- 65 Dutch LN
Columbus, MS 39702-5523 - Phone
- (662) 241-4545
- Fax
- (662) 241-4025
- NPI assigned
- Aug 22, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1211 | MS | Primary |
Addresses
Primary practice location
65 Dutch LN
Columbus, MS 39702-5523
Mailing address
65 Dutch LN
Columbus, MS 39702-5523
Phone (662) 241-4545
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1211 | MS | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab at Work PLLC | Occupational Therapist | Past | Accepting new patients |
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": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357084800000",
"number": "1821080185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 DUTCH LN",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397025523",
"telephone_number": "662-241-4545",
"fax_number": "662-241-4025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 DUTCH LN",
"city": "COLUMBUS",
"state": "MS",
"postal_code": "397025523",
"telephone_number": "662-241-4545",
"fax_number": "662-241-4025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TRACI",
"middle_name": "L",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-22",
"last_updated": "2013-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MS",
"license": "1211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbus, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.