Active NPI
Traci A Reindle, DPT, MS, ATC
- Physical Therapist
- Alamogordo, NM
National Provider Identifier
1457564486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3285
- Practice address
- 1809 Indian Wells Rd
Alamogordo, NM 88310-4617 - Phone
- (575) 437-1967
- NPI assigned
- May 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3285 | NM | Primary |
Addresses
Primary practice location
1809 Indian Wells Rd
Alamogordo, NM 88310-4617
Mailing address
11 Quail LN
La Luz, NM 88337-9386
Phone (505) 434-5932
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3285 | NM | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310774400000",
"number": "1457564486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 QUAIL LN",
"city": "LA LUZ",
"state": "NM",
"postal_code": "883379386",
"telephone_number": "505-434-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1809 INDIAN WELLS RD",
"city": "ALAMOGORDO",
"state": "NM",
"postal_code": "883104617",
"telephone_number": "575-437-1967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINDLE",
"first_name": "TRACI",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "DPT, MS, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2011-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "3285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alamogordo, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.