Active NPI
Tracy R Flemming-Tracy, OT
- Occupational Therapist
- Birmingham, AL
National Provider Identifier
1902187537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2469
- Practice address
- 3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111 - Phone
- (205) 803-2210
- Fax
- (205) 803-2214
- NPI assigned
- Sep 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2469 | AL | Primary |
Addresses
Primary practice location
3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111
Mailing address
3105 Independence Dr
Suite 105
Birmingham, AL 35209-4111
Phone (205) 803-2210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 511-22828 | Other | AL | BLUE CROSS BLUE SHIELD ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2469 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1902187537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3105 INDEPENDENCE DR",
"address_2": "SUITE 105",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094111",
"telephone_number": "205-803-2210",
"fax_number": "205-803-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3105 INDEPENDENCE DR",
"address_2": "SUITE 105",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352094111",
"telephone_number": "205-803-2210",
"fax_number": "205-803-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMMING-TRACY",
"first_name": "TRACY",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-09",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "2469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD ALABAMA",
"identifier": "511-22828",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.