Active NPI
Lauren Tracy
- Occupational Therapist
- Winter Park, FL
National Provider Identifier
1922554864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10229
- Practice address
- 3130 Lowndes Dr
Winter Park, FL 32792-2922 - Phone
- (407) 766-3259
- NPI assigned
- Aug 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10229 | NC | Primary |
| Occupational Therapist | 225X00000X | 5519 | TN |
Addresses
Primary practice location
3130 Lowndes Dr
Winter Park, FL 32792-2922
Mailing address
3130 Lowndes Dr
Winter Park, FL 32792-2922
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10229 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472601600000",
"number": "1922554864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3130 LOWNDES DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 LOWNDES DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327922922",
"telephone_number": "407-766-3259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-31",
"last_updated": "2016-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "10229",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "5519",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.