Tracy Huffman, OTR/L
Individual provider Active NPI Occupational Therapist · Sugar Hill, GA
NPI 1841007564 · NPPES record last updated Dec 16, 2024
Key facts
- NPI
- 1841007564
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT009364 (GA)
- Practice address
- 5135 W Broad St
Sugar Hill, GA 30518-5228 - Phone
- (740) 601-0803
- NPI assigned
- Dec 16, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250210000728 | GA | Practitioner - Occupational Therapist in Private Practice | 1052841855 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009364 | GA | MD | Professional Counselor |
| OT009364 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aegis Group Practice LLC | Occupational Therapist | Current |
Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current | Accepting new patients |
| Aegis Group Practice LLC | Occupational Therapist | Current |
Accepting new patients |
| Transperfect Health Corp | Occupational Therapist | Current |
Accepting new patients |
Locations
1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632
1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT009364 | GA | Yes |
Addresses
Primary practice location
5135 W Broad St
Sugar Hill, GA 30518-5228
Mailing address
5176 Glenstone CT
Gainesville, GA 30504-9043
Phone (740) 601-0803
Other providers in Sugar Hill, GA
- Happy Care
- Health Choice Urgent Care, LLC
- Angie R Hernandez
- Kimberly Kathleen Hill
- Carrie K Hilton
- Impulse Physical Therapy LLC
- Integrated Healthcare Center of Sugar Hill LLC
- Melissa M Jaerling
- James G Davis DDS PC
- Sarah Johansson
All providers in Sugar Hill, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.