Tracy Lynn Picha, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

113177 Issued in TX

Practice address

4206 Retama Cir
Victoria, TX 77901-2765

Phone

(361) 582-0611

Fax

(361) 582-4978

NPI assigned

Jun 25, 2009

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1982832200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4206 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012765",
            "telephone_number": "361-582-0611",
            "fax_number": "361-582-4978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4206 RETAMA CIR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012765",
            "telephone_number": "361-582-0611",
            "fax_number": "361-582-4978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICHA",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "113177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164704201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisa Pham, DO
• Matthew David Phillips, M.D
• Physicians Rehab Assoc PA
• Physicians Rehab Associates P. a.
• Todd Steven Piatt
• Lucille Mary Pickney, MD
• Elizabeth Ann Pieprzica-Boudreaux, D.C.
• Shirley P Pigott, MD
• Kerri Ann Pillar, FNP-C
• Donald L Plowman, M.D.

• Pediatric Occupational Therapist in Victoria, TX
• Providers in Victoria, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.