Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tracey Hudson

Individual provider Occupational Therapist · NPI 1497948921

Mr. Tracey Hudson is an Occupational Therapist in Private Practice in Bay Shore, New York. Qualified in 2014, 12 years ago. Practices with Progressive Rehab Management Corporation, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

10 E Garfield St Apt 2A
Bay Shore, NY 11706
Phone: (631) 415-4017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 023024-1 (NY)
Occupational Therapist Taxonomy 225X00000X · Licence 023024 (NY)
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X · Licence 006119-1 (NY)

Record details

NPI number1497948921
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 17, 2007
Last updated in NPPESFebruary 6, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Progressive Rehab Management Corporation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bay Shore