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

Tacy Ammons, OT

Individual provider Occupational Therapist · NPI 1548552755

Tacy Ammons, OT is an Occupational Therapist in Private Practice in Philadelphia, Pennsylvania. Qualified in 1970, 56 years ago. Practices with Heal at Home PT and Wellness LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
56
Licensed in
PA
In the registry since
2011
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

1930 S Broad St Ste J
Philadelphia, PA 19145-2328
Phone: (267) 996-3900
Fax: (267) 507-7572
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 210 E Derenne Ave, Savannah, GA 31405-6736 — (912) 644-5300

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC000862L (PA)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1548552755
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedMay 5, 2011
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023
Mailing address1311 Mamaroneck Ave Ste 140, White Plains, NY 10605-5224

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1970 (56 years in practice)
Group practice Heal At Home Pt And Wellness Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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