NEUROTRACE
NPI 1073968582
Clinic/Center - Physical Therapy in San Diego, CA

Active since May 03, 2016
4611 VIRGINIA AVE, SAN DIEGO, CA 92115(805) 857-3995(310) 280-6998 Get Directions Write a Review

NPPES record last updated: May 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Neurotrace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEUROTRACE (NPI 1073968582) is a healthcare organization registered as a physical therapy in San Diego, California and active in the NPI registry since May 2016. The organization lists Arnold Herbert Tripp, Owner, as its authorized official.

NPPES Registry Identity

NPI1073968582
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameNEUROTRACE
Location Address4611 VIRGINIA AVESan Diego, CA 92115-4130
Mailing Address4611 Virginia AveSan Diego, CA 92115-4130 · (805) 857-3995 · Fax (310) 280-6998
Fax(310) 280-6998
Organization SubpartNo
Authorized OfficialArnold Herbert TrippOwner · (805) 857-3995
Enumeration DateMay 3, 2016
NPI 1073968582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License Licensed in CA · WPT3422A
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
4611 VIRGINIA AVE, San Diego, CA 92115

Other Identifiers 2

OtherWPT3422ACA · Physical Therapy License
Medicare PIN1609880111CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Neurotrace's NPI number?

The NPI number for Neurotrace is 1073968582. It was assigned to this organization in the NPPES registry on May 3, 2016.

Where is Neurotrace located?

Neurotrace is located at 4611 Virginia Ave, San Diego, CA 92115. The listed phone number is (805) 857-3995.

What is Neurotrace's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

When was this NPI record last updated?

The NPPES record for Neurotrace was last updated on May 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.