MRS. TRACY LEIGH ELLIOTT P.T.
NPI 1154623056
Physical Therapist - Pediatrics in Canton, NY

Active since November 28, 2010
139 STATE STREET RD, CANTON, NY 13617(315) 386-4504(315) 379-0246 Get Directions Write a Review

NPPES record last updated: November 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Tracy Leigh Elliott P.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TRACY LEIGH ELLIOTT P.T. (NPI 1154623056) is an individual pediatrics provider in Canton, New York, licensed in New York (0086321) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1154623056
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameMRS. TRACY LEIGH ELLIOTTCredential: P.T.
Location Address139 STATE STREET RDCanton, NY 13617-3504
Mailing Address139 State Street RdCanton, NY 13617-3504 · (315) 386-4504 · Fax (315) 379-0246
Fax(315) 379-0246
Sole ProprietorNo
Enumeration DateNovember 28, 2010
NPI 1154623056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in NY · 0086321
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
139 STATE STREET RD, Canton, NY 13617

Other Names 1

Former Name (1)Miss Tracy Leigh Walts P.t.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
139 STATE STREET RD
CANTON, NY 13617
Speech-Language Pathologist
139 STATE STREET RD
CANTON, NY 13617
Physical Therapist
139 STATE STREET RD
CANTON, NY 13617
Speech-Language Pathologist
139 STATE STREET RD
CANTON, NY 13617
Speech-Language Pathologist
139 STATE STREET RD
CANTON, NY 13617
Physical Therapist
139 STATE STREET RD
CANTON, NY 13617
Occupational Therapist
139 STATE STREET RD
CANTON, NY 13617
Occupational Therapy Assistant
139 STATE STREET RD
CANTON, NY 13617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracy Elliott's NPI number?

The NPI number for Tracy Elliott is 1154623056. It was assigned to this individual provider in the NPPES registry on November 28, 2010. The provider is also known as Miss Tracy Leigh Walts P.T..

Where is Tracy Elliott located?

Tracy Elliott practices at 139 State Street Rd, Canton, NY 13617. The listed phone number is (315) 386-4504.

What is Tracy Elliott's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Tracy Elliott was last updated on November 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.