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TRACEY LEA LIPUT
NPI 1487524302
Prosthetic/Orthotic Supplier in Port Orange, FL

Active since November 06, 2025
4647 CLYDE MORRIS BLVD UNIT 501, PORT ORANGE, FL 32129(386) 293-1016 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracey Lea Liput NPPES

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

TRACEY LEA LIPUT (NPI 1487524302) is an individual prosthetic/orthotic supplier provider in Port Orange, Florida and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1487524302
Entity TypeIndividualFemale
Primary Taxonomy335E00000X
Provider Legal NameTRACEY LEA LIPUT
Location Address4647 CLYDE MORRIS BLVD UNIT 501Port Orange, FL 32129-3001
Mailing Address4647 Clyde Morris Blvd Unit 501Port Orange, FL 32129-3001 · (386) 293-1016
Phone(386) 293-1016
Sole ProprietorYes
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1487524302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
4647 CLYDE MORRIS BLVD UNIT 501, Port Orange, FL 32129
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Other Providers at the Same Location NPPES 20

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

RITISH POKHREL
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
JESSICA FADDOUL
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
DEVON JAMES JOHNSON-ROBINSON
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
MRS. BRANDIE NICOLE SCHEU RBT
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
LAKESHA JONES
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
RAYNARD BRANT RBT
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
SANIQUSHA SANTANA KENNEDY RBT
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752
DIONTAYE FREEMAN
Behavior Technician
4647 CLYDE MORRIS BLVD UNIT 501
PORT ORANGE, FL 32129
Volusia County (386) 767-3752

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 Tracey Liput's NPI number?

The NPI number for Tracey Liput is 1487524302. It was assigned to this individual provider in the NPPES registry on November 6, 2025.

Where is Tracey Liput located?

Tracey Liput practices at 4647 Clyde Morris Blvd Unit 501, Port Orange, FL 32129. The listed phone number is (386) 293-1016.

What is Tracey Liput's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Tracey Liput was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.