Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720130206 Individual Practitioner Female Practitioner

Tracey Lynne Roach , OT

Occupational Therapist • San Angelo, TX

Professional Overview & Biography Verified Profile Summary

Tracey Roach, OT is a registered healthcare professional specializing in Occupational Therapist in San Angelo, TX. Practice services are available at 3001 S JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3001 S Jackson St

San Angelo, TX 769045129

Telephone 3252236300
Fax 3252236448
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in San Angelo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.0 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
39 Specialists

Practicing in San Angelo, TX (7791 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-01
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License TX 108620

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1720130206 (TX)

Secondary Practice Locations

612 S Irene St

San Angelo, TX 769036629

Phone: 3256586571

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003608134

Doctor of Audiology

Faith Charles , AUDIOLOGY

Audiologist-Hearing Aid Fitter

NPI 1013656586
NPI 1013801034

Physical Therapist, Doctor of Physical Therapy

Jacqueline Schwartz

Physical Therapist

NPI 1023746047
Mindy Weyman , CCC-SLP

Speech-Language Pathologist

NPI 1053485029

Speech-Language Pathologist (Certificate of Clinical Competence)

Riley Rambo , PT

Physical Therapist

NPI 1053988188

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location July 01, 2021

Registered at 3001 S JACKSON ST, SAN ANGELO, TX 769045129 (Tel: 3252236300)

📍
Updated Business Mailing Address July 01, 2021

Registered at 3001 S JACKSON ST, SAN ANGELO, TX 769045129 (Tel: 3252236300)

👤
Provider Name / Credentials Updated July 01, 2021

Recorded as TRACEY ROACH, OT

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 612 S IRENE ST, SAN ANGELO, TX 769036629 (Tel: 3256586571)

📍
Updated Business Mailing Address July 08, 2007

Registered at 612 S IRENE ST, SAN ANGELO, TX 769036629 (Tel: 3256586571)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as TRACEY BLOBNER, OT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapist (License #108620 in TX)

🟢
Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1720130206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2007
Last Update: July 01, 2021
Sole Proprietor: Yes

Mailing Address

3001 S Jackson St

San Angelo, TX 769045129

Phone: 3252236300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.