TRACEY KELLY ELLIOTT (NPI# 1306971544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306971544 |
| Entity Type | Individual |
| Full Name | TRACEY KELLY ELLIOTT |
| Credential | PT |
| Practice Address |
4 Jackson St Ne Fort Walton Beach FL 32548-4925 |
| Mailing Address |
2 Julia Way Gulf Breeze FL 32561-4071 |
| Practice Telephone | 8508627227 |
| Mailing Telephone | 8508627227 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT22615 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265939987 | Tracey Jean Elliott | Recreation Therapist | 10031 Spencer Rd, Brighton, MI 48114 | 2018-04-09 |
| 1215086673 | Tracey Leianne Elliott | Counselor | 398 Hospital Rd, Sylva, NC 28779-5196 | 2007-01-08 |
| Street Address |
4 JACKSON ST NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-4925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336214949 | Melissa Chavers Mccoy | Occupational Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-11-21 |
| 1457435455 | Edith Selden Ezell | Occupational Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-10-25 |
| 1235228610 | Cori Dawn Hill | Speech-Language Pathologist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-10-12 |
| 1114937976 | Mary Katherine Moreau | Physical Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-08-08 |
| 1477563138 | Little Hands Little Feet, LLC | Clinic/Center | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-08-08 |
| 1407866254 | Rebecca Ratcliff | Physical Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-08-08 |
| 1376567792 | Agata S Macdonald | Occupational Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114155363 | Lauren Cozma | Physical Therapist | 8 Walter Martin Rd Ne, Fort Walton Beach, FL 32548-4960 | 2009-06-26 |
| 1396030128 | Emily Bradshaw | Physical Therapist | 224d Eglin Pkwy Ne, Fort Walton Beach, FL 32547-2877 | 2011-06-09 |
| 1114937976 | Mary Katherine Moreau | Physical Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-08-08 |
| 1407866254 | Rebecca Ratcliff | Physical Therapist | 4 Jackson St Ne, Fort Walton Beach, FL 32548-4925 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537867 | Star Therapy Services, Inc. | Physical Therapist | 12793 Sw 250th Ter, Homestead, FL 33032-9088 | 2020-08-07 |
| 1669081634 | Little Steps Florida LLC | Physical Therapist | 2101 Multrees Xing Unit 306, Dunedin, FL 34698-6996 | 2020-07-27 |
| 1154948958 | Grounded Ventures LLC | Physical Therapist | 2146 N 72nd Ter, Pembroke Pines, FL 33024-1042 | 2020-06-29 |
| 1033733464 | Horizons Therapy Services LLC | Physical Therapist | 11066 Suspense Dr, Winter Garden, FL 34787-1752 | 2020-06-01 |
| 1326672593 | Kellie Burch | Physical Therapist | 17677 Mahan Dr, Tallahassee, FL 32309-8679 | 2020-02-26 |
| 1891339578 | Tricia Steffey | Physical Therapist | 2027 Se 5th St, Ocala, FL 34471-2503 | 2019-11-05 |
| 1407402662 | Lora Krystine Kuehn | Physical Therapist | 9872 Nob Hill Ct, Sunrise, FL 33351-4621 | 2019-08-14 |
| 1750937975 | Florida Kids Therapy Medley LLC | Physical Therapist | 7911 Nw 72nd Ave Ste 220, Medley, FL 33166-2224 | 2019-08-13 |
| 1467920249 | Home Sweet Home Pediatric Therapy, LLC | Physical Therapist | 11246 Sw Olmstead Dr, Port Saint Lucie, FL 34987-1945 | 2018-11-09 |
| 1003306119 | Livya Barreirinhas,llc | Physical Therapist | 185 Springline Dr, Vero Beach, FL 32963-2940 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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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.