Organization Active NPI

Tracy Hand & Occupational Therapy

  • Occupational Therapist
  • Kalispell, MT
National Provider Identifier
1962593889
Registry record updated May 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
178 Issued in MT
Legal business name
TRACY HAND & OCCUPATIONAL THERAPY
Practice address
111 Sunnyview Lane
Suite C
Kalispell, MT 59901-3164
Phone
(406) 752-7581
Fax
(406) 752-7584
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2016

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

Authorized official

Name
Mr. Timothy Michael Tracy, OTR CHT
Title
Owner
Phone
(406) 752-7581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X 178 MT Primary

Addresses

Primary practice location

111 Sunnyview Lane
Suite C
Kalispell, MT 59901-3164

Mailing address

111 Sunnyview Lane
Suite C
Kalispell, MT 59901-3164
Phone (406) 752-7581

Other identifiers 2

IdentifierTypeStateIssuer
1962593889MedicaidMT
1730394651OtherMTDME

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463788800000",
    "number": "1962593889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LANE",
            "address_2": "SUITE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013164",
            "telephone_number": "406-752-7581",
            "fax_number": "406-752-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SUNNYVIEW LANE",
            "address_2": "SUITE C",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013164",
            "telephone_number": "406-752-7581",
            "fax_number": "406-752-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY HAND & OCCUPATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2016-05-21",
        "status": "A",
        "authorized_official_last_name": "TRACY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "406-752-7581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "MT",
            "license": "178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962593889",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1730394651",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.

Verify at the official NPI Registry.