Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRACY A RIORDAN
Active
Individual
TRACY A RIORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4099
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391403
AVMED
FL
01
—
Y6433
FLORIDA BLUE
FL
Enumeration date
04/11/2008
Last updated
03/16/2021
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