DR. TRACY A PARK MD
NPI 1194712455
Physical Medicine & Rehabilitation in Milwaukee, WI

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
4111 W MITCHELL ST, STE 300, MILWAUKEE, WI 53215(414) 385-8800 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 26, 2023, Nov 29, 2021, Dec 4, 2015 (3 updates tracked since 2015).

About Dr. Tracy A Park Md NPPES

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

DR. TRACY A PARK MD (NPI 1194712455) is an individual physical medicine & rehabilitation provider in Milwaukee, Wisconsin, licensed in Wisconsin (30606) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (1985).

NPPES Registry Identity

NPI1194712455
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. TRACY A PARKCredential: MD
Location Address4111 W MITCHELL ST, STE 300Milwaukee, WI 53215-1748
Mailing Address4111 W Mitchell St, Ste 300Milwaukee, WI 53215-1748 · (414) 385-8800
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1985
Enumeration DateOctober 3, 2005
Last NPPES UpdateJanuary 26, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
NPI 1194712455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in WI · 30606
Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedPhysical Medicine & Rehabilitation · Neuromuscular MedicineTaxonomy 2081N0008X · License 30606-020 (WI)
4111 W MITCHELL ST, Milwaukee, WI 53215

Other Identifiers 1

Medicaid31539700WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tracy A Park Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698848984
PECOS Enrollment IDI20080719000117
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Durable Medical Equipment & Medical Supplies
4111 W MITCHELL ST
MILWAUKEE, WI 53215
Preventive Medicine (Occupational Medicine)
4111 W MITCHELL ST
MILWAUKEE, WI 53215
Nurse Practitioner
4111 W MITCHELL ST
MILWAUKEE, WI 53215
Nurse Practitioner
4111 W MITCHELL ST, SUITE 300
MILWAUKEE, WI 53215
Physician Assistant
4111 W MITCHELL ST, SUITE 300
MILWAUKEE, WI 53215
Nurse Practitioner
4111 W MITCHELL ST
MILWAUKEE, WI 53215
Physical Therapist
4111 W MITCHELL ST
MILWAUKEE, WI 53215
Occupational Therapist
4111 W MITCHELL ST
MILWAUKEE, WI 53215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194712455, enumerated as an "individual" on October 03, 2005.

The provider is located at 4111 W MITCHELL ST STE 300 MILWAUKEE, WI 53215 and the phone number is (414) 385-8800.

Physical Medicine & Rehabilitation with taxonomy code 208100000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.