Active NPIIndividual provider

Tracy Dorgan, COTA

Occupational Therapy Assistant in Pawtucket, Rhode Island

NPI Number1700722444
Practice location
588 Pawtucket Ave, Pawtucket, RI 02860-6057
Fax
401-728-6509
Last updated
April 27, 2026

Tracy Dorgan is an Occupational Therapy Assistant based in Pawtucket, RI. Tracy Dorgan practices in Pawtucket, RI and has the professional credentials of COTA. The NPI Number for Tracy Dorgan is 1700722444 and holds a License No. OTA00411 (RI). The current practice location address for Tracy Dorgan is 588 Pawtucket Ave, Pawtucket, RI 02860-6057 and can be reached out via phone at 401-728-6500 and via fax at 401-728-6509.

Provider Profile Details

NPI Number
1700722444
Provider Name
Tracy Dorgan
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
588 Pawtucket Ave, Pawtucket, RI 02860-6057
Phone Number
401-728-6500
Fax Number
401-728-6509
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
April 27, 2026
Last Update Date
April 27, 2026
Certification Date
April 26, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
588 Pawtucket Ave
Pawtucket, RI 02860-6057
Zip
02860-6057
Phone Number
401-728-6500
Fax Number
401-728-6509
Pawtucket, RI 02860Get directions →

Provider Business Mailing Address Details

Address
8 Pine Hill RD
Johnston, RI 02919-2890
City
Johnston
State
RI
Zip
02919-2890
Phone Number
401-728-6500
Fax Number
401-728-6509

License Information

License Number
OTA00411
License State
RI
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 Tracy Dorgan, COTA?

The NPI number of Tracy Dorgan, COTA is 1700722444. It was assigned on April 27, 2026 and is currently active in the NPPES registry.

What is the specialty of Tracy Dorgan, COTA?

Tracy Dorgan, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in RI under license number OTA00411.

Where does Tracy Dorgan, COTA practice?

The practice location is 588 Pawtucket Ave, Pawtucket, RI 02860-6057. The office can be reached at 401-728-6500 (phone) or 401-728-6509 (fax).

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 1700722444 directly on the NPPES registry website.

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