Tracey L. Airth-Edblom, OTR/L, CHT
NPI 1053571307ActiveIndividual· Occupational Therapist, Hand· Petaluma, CA
Occupational Therapist, Hand (OTR/L, CHT) in Petaluma, California, licensed in CA, with an NPI issued in June 2008.
Overview
| NPI | 1053571307 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L, CHT |
| Sole proprietor | No |
| NPI issued | Jun 11, 2008 |
| Last updated in NPPES | Jun 11, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Hand Primary | 225XH1200X | OT345 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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