Individual provider Active NPI

Tracy Sobers, OT

  • Occupational Therapist
  • Anchorage, AK
National Provider Identifier
1962564054
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
674 Issued in AK
Practice address
1301 E Dowling Rd
Suite 106
Anchorage, AK 99518-1436
Phone
(907) 279-5312
Fax
(907) 346-5437
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 674 AK Primary

Addresses

Primary practice location

1301 E Dowling Rd
Suite 106
Anchorage, AK 99518-1436

Mailing address

PO Box 231776
Anchorage, AK 99523-1776
Phone (907) 279-5312

Other identifiers 1

IdentifierTypeStateIssuer
OT4297MedicaidAK

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

LicenseStateTypeSpecialty
674AKMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1962564054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231776",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231776",
            "telephone_number": "907-279-5312",
            "fax_number": "907-346-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 E DOWLING RD",
            "address_2": "SUITE 106",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995181436",
            "telephone_number": "907-279-5312",
            "fax_number": "907-346-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBERS",
        "first_name": "TRACY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT4297",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.