MEDICARE: MRS. TRACEY LYNN MINKIN OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XG0600X	Gerontology Occupational Therapist	7532	FL

General Provider Information

NPI Number	:	1083200109
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TRACEY LYNN MINKIN OT

Provider Business Mailing Address
First Line	:	1110 SE 5TH CT
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-3006
Country	:	US
Telephone Number	:	954-695-2950
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 SEMINOLE DR
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33304-3243
Country	:	US
Telephone Number	:	954-780-5627
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2020
Last Update Date	:	12/13/2020

Similar Medicare Providers

1376097022 — DR. ADAM ALEXANDER KING DPT
Practice Location Address:

1031 SEMINOLE DR
FORT LAUDERDALE, FL
33304-3243

Practice Phone: 954-787-6556
Practice Fax:

1609475094 — MRS. ERIKA MICHELE MOORMAN M.S.,CCC-SLP
Practice Location Address:

1031 SEMINOLE DR
FORT LAUDERDALE, FL
33304-3243

Practice Phone: 954-504-9315
Practice Fax:

1821662156 — MRS. TONI DIANE MITCHELL PT
Practice Location Address:

1031 SEMINOLE DR
FORT LAUDERDALE, FL
33304-3243

Practice Phone: 954-780-5627
Practice Fax:

1184975070 — MARIE ISME
Practice Location Address:

230 NW 53RD ST
FORT LAUDERDALE, FL
33309-3243

Practice Phone: 954-245-2399
Practice Fax:

1962474403 — MARTA CACERES DAHIYA M.D.
Practice Location Address:

601 W TERRELL AVE
FORT WORTH, TX
76104-3243

Practice Phone: 817-852-8342
Practice Fax: 817-759-7062

1013964766 — ELIE B CHOUFANI M.D.
Practice Location Address:

601 W TERRELL AVE
FORT WORTH, TX
76104-3243

Practice Phone: 817-852-8305
Practice Fax:

Directions to “ MRS. TRACEY LYNN MINKIN OT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.