MRS. TRACY L PULLEY (NPI# 1124237490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124237490 |
| Entity Type | Individual |
| Full Name | MRS. TRACY L PULLEY |
| Other Name | TRACY MCLEES |
| Credential | ATC |
| Practice Address |
13537 Barrett Parkway Dr Suite 105 Ballwin MO 63021-5899 |
| Mailing Address |
644 S Pam Ave Saint Charles MO 63301-4857 |
| Practice Telephone | 3148219126 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
2003026732 | MO | Allopathic & Osteopathic Physicians |
| Street Address |
13537 BARRETT PARKWAY DR SUITE 105 |
| City | BALLWIN |
| State | MO |
| Zip Code | 63021-5899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609273986 | Emma Blankenship | Specialist/Technologist | 13537 Barrett Parkway Dr, Suite 105, Ballwin, MO 63021-5899 | 2014-12-02 |
| 1760789580 | Jerry M Pierson | Physical Therapist | 13537 Barrett Parkway Dr, Suite 105, Ballwin, MO 63021-5899 | 2011-02-14 |
| 1871680371 | William Charles Weir Jr. | Specialist/Technologist | 13537 Barrett Parkway Dr, Suite 105, Ballwin, MO 63021-5899 | 2006-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972121176 | Elise Marie Webster | Dietitian, Registered | 822 Posthorn Dr., Manchester, MO 63021 | 2020-07-14 |
| 1386164713 | Our Care LLC | Internal Medicine | 1742 Carman Ridge Ct, Ballwin, MO 63021 | 2017-06-27 |
| 1134675788 | Summit Home Healthcarre, LLC | Home Health | 11511 Manchester Road, Ellisville, MO 63021 | 2016-09-01 |
| 1730530114 | Windalee Cowell-mccavron | Speech-Language Pathologist | 332 Old State Rd, Ellisville, MO 63021 | 2016-06-27 |
| 1013386598 | 16111 Manchester Road, L.L.C. | Dentist | 428 Old State Rd., Ellisville, MO 63021 | 2015-09-15 |
| 1609285816 | Daniel Rackovan | Specialist/Technologist | 13537 Barret Pkwy Dr, 105, Ballwin, MO 63021 | 2014-08-13 |
| 1952651341 | Faisal Alasmari | General Acute Care Hospital | 13928 Reflection Drive, Reflection Cove Apartments, Apt#235, Ballwin, MO 63021 | 2012-09-13 |
| 1831444694 | Manuel A. Ventus | General Practice | 651 Kerryton Pl. Circle, Balwin, MD 63021 | 2012-07-18 |
| 1073879052 | Delois Ann Hurst | Podiatrist | 1393 Big Bend Rd, Ballwin, MO 63021 | 2012-04-04 |
| 1841566445 | Elizabeth Riedel | Home Health | 13610 Barrett Office Drive, Manchester, MO 63021 | 2012-03-28 |
| Find all providers in zip 63021 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073166864 | Bryan Bengston | Physical Medicine & Rehabilitation | 624 Sessions Ave, Saint Louis, MO 63126-1030 | 2019-07-20 |
| 1871003301 | Southeast Missouri State University | Physical Medicine & Rehabilitation | 1 University Plz # Ms 0200, Cape Girardeau, MO 63701-4710 | 2017-10-11 |
| 1760627327 | Zachary C Roberts | Physical Medicine & Rehabilitation | Msu Athletic Training Services, 901 S. National Ave., Springfield, MO 65897-0001 | 2008-12-11 |
| 1144214065 | Ravi Yadava | Physical Medicine & Rehabilitation | 675 Old Ballas Rd, Suite 210, Saint Louis, MO 63141-7083 | 2005-09-07 |
| 1154939346 | Tara Grace Porter | Physical Medicine & Rehabilitation | 1480 8th St, West Plains, MO 65775-2010 | 2020-07-14 |
| 1184258188 | Jessica Nicole Bledsoe | Physical Medicine & Rehabilitation | 3302 N Woodbine Rd, Saint Joseph, MO 64505-9323 | 2020-02-27 |
| 1073168399 | Logan Prescott | Physical Medicine & Rehabilitation | 3545 S National Ave, Springfield, MO 65807-7310 | 2019-08-04 |
| 1487134722 | Connor Parrish | Physical Medicine & Rehabilitation | 4331 S Fremont Ave, Springfield, MO 65804-7328 | 2018-08-16 |
| 1235649211 | Sydni Marie Kaden | Physical Medicine & Rehabilitation | 802 N Riverside Rd Ste 130, Saint Joseph, MO 64507-2508 | 2017-10-04 |
| 1184162414 | Kirstin Arnold | Physical Medicine & Rehabilitation | 3222 W 16th St, Sedalia, MO 65301-2105 | 2017-02-07 |
| Find all providers with the same taxonomy | ||||
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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.