OrganizationActive
Tracy Wilson
NPI 1902240385 · Pediatric Occupational Therapist · Rockville, MD
Provider details
- NPI number
- 1902240385
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Wilson, Owner/Occupational Therapist(301) 869-7505
- License
- 03971 (MD)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17620 Redland Rd Ste a
Rockville, MD 20855-1245
Phone: (301) 869-7505
Fax: (301) 869-7515
Street-level locationGet directions
Mailing address
17620 Redland Rd Ste a
Rockville, MD 20855-1245
Registry dates
- Enumerated
- 2013-04-29
- Last updated
- 2013-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.