MRS. TRACY WILSON
NPI 1790840296
Occupational Therapist in Brookeville, MD

Active since December 26, 2006
2422 SAINT GEORGE WAY, BROOKEVILLE, MD 20833(301) 570-8415(301) 570-8415 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Tracy Wilson NPPES

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

MRS. TRACY WILSON (NPI 1790840296) is an individual occupational therapist in Brookeville, Maryland, licensed in Maryland (03971) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1790840296
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. TRACY WILSON
Location Address2422 SAINT GEORGE WAYBrookeville, MD 20833-3265
Mailing Address2422 Saint George WayBrookeville, MD 20833-3265 · (301) 570-8415 · Fax (301) 570-8415
Fax(301) 570-8415
Sole ProprietorYes
Enumeration DateDecember 26, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790840296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MD · 03971
Definition
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.
2422 SAINT GEORGE WAY, Brookeville, MD 20833

Other Identifiers 1

OtherJ917-0001MD · Bcbs Provider Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tracy Wilson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tracy Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavior Analyst
18370 LIMESTONE CREEK RD
Jupiter, FL 33458
  • Reassigned Medicare billing, Florida enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Wilson's NPI number?

The NPI number for Tracy Wilson is 1790840296. It was assigned to this individual provider in the NPPES registry on December 26, 2006.

Where is Tracy Wilson located?

Tracy Wilson practices at 2422 Saint George Way, Brookeville, MD 20833. The listed phone number is (301) 570-8415.

What is Tracy Wilson's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Tracy Wilson enrolled in Medicare?

Yes. Tracy Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tracy Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Wilson reassigns Medicare benefits to Els For Autism Foundation (Jupiter, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tracy Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tracy Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.