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

MS. Traci Elise Richardson, MA, OTR/L

Individual provider Occupational Therapist · NPI 1124360177

MS. Traci Elise Richardson, MA, OTR/L is an Occupational Therapist in Bronx, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

2475 Southern Blvd
Bronx, NY 10458
Phone: (718) 584-6390
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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 017822-1 (NY)

Record details

NPI number1124360177
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , OTR/L
Sole proprietorYes
NPI enumeratedMarch 17, 2013
Last updated in NPPESMarch 18, 2014

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