MRS. TRACY LEIGH ELLIOTT (NPI# 1154623056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154623056 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LEIGH ELLIOTT |
| Other Name | MISS TRACY LEIGH WALTS |
| Credential | P.T. |
| Practice Address |
139 State Street Rd Canton NY 13617-3504 |
| Practice Telephone | 3153864504 |
| Practice Fax Number | 3153790246 |
| Mailing Telephone | 3153864504 |
| Mailing Fax Number | 3153790246 |
| Enumeration Date | 2010-11-28 |
| Last Update Date | 2010-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
0086321 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588919351 | Tracy R Elliott | Nurse Practitioner | 1015 S Hackett Rd, Waterloo, IA 50701-3500 | 2012-07-18 |
| 1942202718 | Tracy Haymann Elliott | Obstetrics & Gynecology | 4401 Coit Rd, Suite # 205, Frisco, TX 75035-0500 | 2005-08-11 |
| Street Address |
139 STATE STREET RD |
| City | CANTON |
| State | NY |
| Zip Code | 13617-3504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740407824 | Susan M Grandaw | Speech-Language Pathologist | 139 State Street Rd, Canton, NY 13617-3504 | 2007-04-19 |
| 1043596901 | Ben Albert Scharf | Speech-Language Pathologist | 139 State Street Rd, Canton, NY 13617-3504 | 2011-10-24 |
| 1407132368 | Pamela Jane Kempshepherd | Speech-Language Pathologist | 139 State Street Rd, Canton, NY 13617-3504 | 2011-10-24 |
| 1790061646 | Norma Jean Drummatter | Speech-Language Pathologist | 139 State Street Rd, Canton, NY 13617-3504 | 2011-10-24 |
| 1225312283 | Julie Petry | Physical Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2011-10-07 |
| 1659663953 | Jennifer Ann Benson | Occupational Therapy Assistant | 139 State Street Rd, Canton, NY 13617-3504 | 2011-05-05 |
| 1568768349 | Jennifer Nightingale | Occupational Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2011-01-27 |
| 1790087302 | Linda Greene Beauchamp | Occupational Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2010-12-02 |
| 1841592755 | Heather C Connelly-hughes | Physical Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2010-11-29 |
| 1942501283 | Terra Marie O'neill | Physical Therapist | 139 State Street Rd, Canton, NY 13617-3504 | 2010-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700428802 | Meagan Elizabeth Hogan | Physician Assistant | 6119 Us Highway Route 11, Canton, NY 13617 | 2019-10-10 |
| 1982251740 | Wilma J. Blackmer | Technician | 1756 Cr 14, Canton, NY 13617 | 2019-08-26 |
| 1326525270 | Kylie Broughal | Physician Assistant | 6119 St Hwy Rt 11, St Lawrence Medical Office Complex, Canton, NY 13617 | 2018-07-24 |
| 1891299608 | Sheena Teresa Smith | Counselor | 310 State Highway 310, Suite 1, Canton, NY 13617 | 2018-03-19 |
| 1972024594 | Patrick James Sullivan | Physician Assistant | 6619 State Highway Route 11, Canton, NY 13617 | 2017-07-05 |
| 1225482763 | Howard Orthotics and Prosthetics, LLC | Prosthetic/Orthotic Supplier | 6128 Us Highway11, Canton, NY 13617 | 2016-04-21 |
| 1831534452 | Chin Hung Ho | Dermatology | 6119 State Highway Rt 11, Cph Dermotology, Canton, NY 13617 | 2013-05-09 |
| 1194061663 | Sarah Prairie | Counselor | 80 State Hwy 310, Suite 1, Canton, NY 13617 | 2013-01-02 |
| 1679859094 | Nathan Ellis | Occupational Therapist | 139 Outer State St. Rd, Canton, NY 13617 | 2011-10-31 |
| 1407139017 | Julianne Rutley | Occupational Therapist | 139 Outer State Street Rd, Canton, NY 13617 | 2011-09-21 |
| Find all providers in zip 13617 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184173874 | Hillary Lawrence | Physical Therapist | 428 33rd St Nw, Canton, OH 44709-3014 | 2016-09-23 |
| 1982937223 | Nimble Kids LLC | Physical Therapist | 200 Riverstone Dr, Suite B, Canton, GA 30114-5256 | 2009-09-17 |
| 1467633842 | Sonya L Larrieux | Physical Therapist | 125 Thoreau Rd, Canton, MA 02021-2494 | 2007-11-14 |
| 1093256109 | Hearts and Hands Therapy Services, Inc. | Physical Therapist | 709 Crescent Cir, Canton, GA 30115-4772 | 2017-03-09 |
| 1831590462 | Angela Rose Hiltbrand | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-09-15 |
| 1659797298 | Cara E Clester | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2014-03-06 |
| 1811310923 | Kathleen Conrad | Physical Therapist | 2100 38th St Nw, Canton, OH 44709-2312 | 2014-01-24 |
| 1730435777 | Alexandra Renee Larson | Physical Therapist | 5156 Whipple Ave Nw, Canton, OH 44718-2663 | 2012-07-27 |
| 1003114109 | Kids@home Therapy Services | Physical Therapist | 701 27th St Ne, Canton, OH 44714-1703 | 2011-03-14 |
| 1326274663 | Hippo Associates, LLC | Physical Therapist | 1055 Thomas Rd, Canton, GA 30115-6702 | 2009-06-01 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.