Tracy Lee Urbain, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2021029302 Issued in MO

Practice address

14802 Shamrock Way Ste C
Smithville, MO 64089-8381

Phone

(816) 873-1101

Fax

(816) 399-5796

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Tracy Lee Richardson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• William Sterling Margaret LLC

  • Physical Therapist
  • Novi, MI
  • NPI 1003946625
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1891058053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14802 SHAMROCK WAY STE C",
            "city": "SMITHVILLE",
            "state": "MO",
            "postal_code": "640898381",
            "telephone_number": "816-873-1101",
            "fax_number": "816-399-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAIN",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501014329",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2021029302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "RICHARDSON",
            "middle_name": "LEE",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul David Stevens, DDS
• Stile II
• The Baptist Home
• Stefanie Jean Throm, PHARMD
• Matthew J Twardowski, O.D.
• Shelby Walker, M.S CCC-SLP
• Kayana M Ward, PMHNP
• Warrior Auditory Processing Therapy, LLC
• Warrior Hearing Center of Smithville, LLC
• Kathleen J. Westman, OTR, MS

• Physical Therapist in Smithville, MO
• Providers in Smithville, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.