Tracy Johnson Barrilleaux, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

109445 Issued in TX

Practice address

4242 Office Pkwy
Dallas, TX 75204-3629

Phone

(214) 828-9900

Fax

(214) 828-9901

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Dallas Services

  • Optometrist
  • Dallas, TX
  • NPI 1245255108
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1871726919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 OFFICE PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043629",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 OFFICE PKWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043629",
            "telephone_number": "214-828-9900",
            "fax_number": "214-828-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRILLEAUX",
        "first_name": "TRACY",
        "middle_name": "JOHNSON",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "109445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yousri Barri, M..D.
• Samantha M Barrie, CRNP
• Bryan Rene Barrientos, DO
• Zhen Barrientos, LPC
• Amy M Barrier, FNP
• Deno B Barroga, MD
• Desi Elpidio Barroga, MD
• Cathleen Jeanette Barron, CRNA
• Charlott Barron, APRN
• Henry Barron, PT

• Occupational Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.