Traci Henderson-Pellar

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

400 Issued in OK

Practice address

617 S Main St
Eufaula, OK 74432-3301

Phone

(918) 423-2220

NPI assigned

Jul 22, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Ergonomic Consultants, LLC

  • Multi-Specialty Clinic/Center
  • McAlester, OK
  • NPI 1922039882
  NPD

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1851964365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323301",
            "telephone_number": "405-406-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 S MAIN ST",
            "city": "EUFAULA",
            "state": "OK",
            "postal_code": "744323301",
            "telephone_number": "918-423-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON-PELLAR",
        "first_name": "TRACI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guardian Pharmacy of Oklahoma LLC
• Kathryn Marie Ham
• Dylan Hays
• Health Management Services, Inc.
• Tracy Heatley
• Heritage Home Care Inc
• James Thomas Hickman, D.C.
• Rachel Leigh Alexandria Hobson, COTA
• Larry D Hoffman
• George W. Holuby, D.PH

• All providers in Eufaula, OK
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.