Active NPI
Tracy Lin Boone, PT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1932224979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009251
- Practice address
- 431 Ohio Pike
Suite 108
Cincinnati, OH 45255-3375 - Phone
- (513) 528-3100
- Fax
- (513) 528-3533
- NPI assigned
- Mar 20, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009251 | OH | Primary |
Addresses
Primary practice location
431 Ohio Pike
Suite 108
Cincinnati, OH 45255-3375
Mailing address
818 Massachusetts Dr
Cincinnati, OH 45245-1704
Phone (513) 943-9624
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2627161 | Medicaid | OH |
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 |
|---|---|---|---|
| 009251 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Therapy | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Cincinnati, OH
- NPI 1417053992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932224979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 MASSACHUSETTS DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451704",
"telephone_number": "513-943-9624",
"fax_number": "513-943-9624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 OHIO PIKE",
"address_2": "SUITE 108",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452553375",
"telephone_number": "513-528-3100",
"fax_number": "513-528-3533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOONE",
"first_name": "TRACY",
"middle_name": "LIN",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "009251",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2627161",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- 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.