P Praxis·MD
● Active Type 1 · Individual

Tracy Lin, MS, OTR/L

Occupational Therapist·Ellenwood, GA· NPI 1508312984 · Enumerated 2016 · 9 years on NPI
Lin is 1 of 7 occupational therapist providers in Ellenwood and 1 of 3276 in Georgia.
NPI age
9 years
Enumerated 2016-08-26
Primary specialty
Occupational Therapist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-12
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 3276 active occupational therapist providers in Georgia.

NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2016 → 2026

2016-08Enumerated in NPPES
2016 2026

Where they practice

Practice location
2508 Brookgate Way
Ellenwood, GA 302942390
📞 4049575015
Mailing address
4093 Villagewood Ln
Ellenwood, GA 302945721
📞 4049575015

Specialties

  • Occupational Therapist Primary
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    GA license #OT003590 taxonomy 225X00000X
  • Occupational Therapist
    Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
    GA license #OT005980 taxonomy 225XP0200X

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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