Active NPI
Tracy Hand & Occupational Therapy
- Occupational Therapist
- Kalispell, MT
National Provider Identifier
1962593889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 178
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962593889 | Medicaid | MT | |
| 1730394651 | Other | MT | DME |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Somers, MT
- NPI 1699872986
-
- Occupational Therapist
- Kalispell, MT
- NPI 1366506966
-
- Hand Occupational Therapist
- Kalispell, MT
- NPI 1881835502
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.