NPIMap

Organization Active NPI

Tracy Ingram McGowan

Doing business as Therapeutic Concepts

  • Geriatric Physical Therapist
  • New Bern, NC
National Provider Identifier
1912100439
Registry record updated Dec 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
Legal business name
TRACY INGRAM MCGOWAN
Doing business as
Therapeutic Concepts
Practice address
1030 Broad Creek Rd
New Bern, NC 28560-7102
Phone
(252) 633-6335
NPI assigned
Jun 11, 2007
Last updated
Dec 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2009

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

Authorized official

Name
Tracy Pauline Ingram
Title
Owner
Phone
(252) 633-6335

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X Primary
Driving and Community Mobility Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XR0403X

Addresses

Primary practice location

1030 Broad Creek Rd
New Bern, NC 28560-7102

Mailing address

1030 Broad Creek Rd
New Bern, NC 28560-7102

Other names 1

  • Therapeutic Concepts Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262044800000",
    "number": "1912100439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 BROAD CREEK RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285607102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BROAD CREEK RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285607102",
            "telephone_number": "252-633-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY INGRAM MCGOWAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-12-29",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-633-6335"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapeutic Concepts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.