Tracey Tumminelli, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00237200 Issued in NJ

Practice address

155 W Hudson Ave # 175
Englewood, NJ 07631-1609

Phone

(201) 871-8882

NPI assigned

Mar 21, 2007

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

Other names 1

• Tracey Tumminelli Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434585600000",
    "number": "1881710176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 LAKE ST",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751631",
            "telephone_number": "201-664-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 W HUDSON AVE # 175",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076311609",
            "telephone_number": "201-871-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMINELLI",
        "first_name": "TRACEY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2015-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00237200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACEY",
            "last_name": "TUMMINELLI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Occupational Therapist in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.