Tracy Nicole Poeppelman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007218 Issued in OH

Practice address

804 W Russell Rd
Sidney, OH 45365-9063

Phone

(937) 557-5657

Fax

(513) 230-2024

NPI assigned

Jan 4, 2016

Last updated

Mar 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tracy Nicole Pearson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1982060299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 W RUSSELL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659063",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 W RUSSELL RD",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453659063",
            "telephone_number": "937-557-5657",
            "fax_number": "513-230-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEPPELMAN",
        "first_name": "TRACY",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-04",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT007218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PEARSON",
            "middle_name": "NICOLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Podiatry Inc
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• Bonnie Jo Poeppelman
• Maria Poeppelman
• Cassandra M Pohl, RN
• Shawntee Jane Poppe, INDEPENDENT PROVIDER
• Trikannad S Prashanthkumar, MD
• Eric John Prenger, MD
• Tammie Prenger, LISW

• Physical Therapist in Sidney, OH
• Providers in Sidney, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.