TRACEY REISCH PT, DPT
NPI 1619797412
Physical Therapist - Pediatrics in San Diego, CA

Active since October 15, 2024
5473 KEARNY VILLA RD STE 100, SAN DIEGO, CA 92123(858) 565-6910(858) 565-6911 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Reisch Pt, Dpt NPPES

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

TRACEY REISCH PT, DPT (NPI 1619797412) is an individual pediatrics provider in San Diego, California, licensed in California (306983) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1619797412
Entity TypeIndividualFemale
Primary Taxonomy2251P0200X
Provider Legal NameTRACEY REISCHCredential: PT, DPT
Location Address5473 KEARNY VILLA RD STE 100San Diego, CA 92123-1160
Mailing Address5473 Kearny Villa Rd Ste 100San Diego, CA 92123-1160 · (858) 565-6910 · Fax (858) 565-6911
Fax(858) 565-6911
Sole ProprietorNo
Enumeration DateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
NPI 1619797412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251P0200X
License Licensed in CA · 306983
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
5473 KEARNY VILLA RD STE 100, San Diego, CA 92123

Other Providers at the Same Location NPPES 3

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

Home Health
5473 KEARNY VILLA RD STE 100
SAN DIEGO, CA 92123
Occupational Therapist (Pediatrics)
5473 KEARNY VILLA RD STE 100
SAN DIEGO, CA 92123
Physical Therapist
5473 KEARNY VILLA RD STE 100
SAN DIEGO, CA 92123

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 Tracey Reisch's NPI number?

The NPI number for Tracey Reisch is 1619797412. It was assigned to this individual provider in the NPPES registry on October 15, 2024.

Where is Tracey Reisch located?

Tracey Reisch practices at 5473 Kearny Villa Rd Ste 100, San Diego, CA 92123. The listed phone number is (858) 565-6910.

What is Tracey Reisch's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Tracey Reisch was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.