Traci L Fracassa, O.T.R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

L693805 Issued in MI

Practice address

22101 Moross Rd
Detroit, MI 48236-2148

Phone

(313) 343-3747

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902008519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6984 PALMS RD",
            "city": "IRA",
            "state": "MI",
            "postal_code": "480232214",
            "telephone_number": "586-716-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22101 MOROSS RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362148",
            "telephone_number": "313-343-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRACASSA",
        "first_name": "TRACI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "O.T.R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "L693805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamila Ann Fox, NP
• Karra Lynn Evans Fox
• Pamela Ruth Foxhall, L.P.N
• Jacob Timothy Foy, MD
• Michael L Fozo, M.D.
• Amber L Fracassi, CRNA
• Daniel Joseph Fragnoli, D.D.S.
• Jane Marcia Frahm, PT
• Brooke M Frakes, MD
• Georgi Karim Fram, M.D.

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.