Tracey Lyn Rinaldi, PYSCHOLOGY ASSOCIATE

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

27822 Issued in CA

Practice address

7100 Navarette Ave
Atascadero, CA 93422-3750

Phone

(805) 286-8317

Fax

(805) 464-0374

NPI assigned

Jun 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1225264351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 NAVARETTE AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223750",
            "telephone_number": "805-286-8317",
            "fax_number": "805-464-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 NAVARETTE AVE",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223750",
            "telephone_number": "805-286-8317",
            "fax_number": "805-464-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINALDI",
        "first_name": "TRACEY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "PYSCHOLOGY ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "27822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225264351",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler David Richmond
• Jose Ignacio Rico-Gonzalez
• Mary Ellen Rico
• Killorin Maureen Riddell, PHD
• Christopher Ried, PPSC
• Maria Guadalupe Rincon-Brown, FNP
• Austin Ring
• Brian Anthony Ring, D.C.
• Andrew James Rios
• Stephen Randall Ripple, D.O.

• Geriatric Physical Therapist in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.