Active NPIIndividual providerSole proprietor

Tracie Kearns

Occupational Therapy Assistant in Wayne, New Jersey

NPI Number1629584453
Practice location
1120 Alps RD, Wayne, NJ 07470-3704
Fax
—
Last updated
December 15, 2017

Tracie Kearns is an Occupational Therapy Assistant based in Wayne, NJ. Tracie Kearns practices in Wayne, NJ. The NPI Number for Tracie Kearns is 1629584453 and holds a License No. 46TA09010100 (NJ). The current practice location address for Tracie Kearns is 1120 Alps RD, Wayne, NJ 07470-3704 and can be reached out via phone at 845-742-4530.

Provider Profile Details

NPI Number
1629584453
Provider Name
Tracie Kearns
Provider Entity Type
Individual
Gender
Female
Address
1120 Alps RD, Wayne, NJ 07470-3704
Phone Number
845-742-4530
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
December 15, 2017
Last Update Date
December 15, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
1120 Alps RD
Wayne, NJ 07470-3704
City
Wayne
Zip
07470-3704
Phone Number
845-742-4530
Wayne, NJ 07470Get directions →

Provider Business Mailing Address Details

Address
4305 Ramapo CT
Riverdale, NJ 07457-1664
City
Riverdale
State
NJ
Zip
07457-1664
Phone Number
845-742-4530

License Information

License Number
46TA09010100
License State
NJ
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tracie Kearns?

The NPI number of Tracie Kearns is 1629584453. It was assigned on December 15, 2017 and is currently active in the NPPES registry.

What is the specialty of Tracie Kearns?

Tracie Kearns is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number 46TA09010100.

Where does Tracie Kearns practice?

The practice location is 1120 Alps RD, Wayne, NJ 07470-3704. The office can be reached at 845-742-4530 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1629584453 directly on the NPPES registry website.

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