Individual provider Active NPI

Tracey Reinecke

  • Physical Therapist
  • Louisville, KY
National Provider Identifier
1578165890
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004051 Issued in KY
Practice address
2400 Arnold Palmer Blvd
Louisville, KY 40245-3222
Phone
(502) 541-5641
NPI assigned
Nov 11, 2020
Last updated
Nov 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004051 KY Primary

Addresses

Primary practice location

2400 Arnold Palmer Blvd
Louisville, KY 40245-3222

Mailing address

3614 Breeland Ave
Louisville, KY 40241-2604
Phone (502) 541-5641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201130001377 KY Practitioner - Physical Therapist in Private Practice 0345651105 Reassigns benefits to 3 organizations
I20250214000572 IN Practitioner - Physical Therapist in Private Practice 0345651105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aegis Group Practice LLCGroup PAC ID 5193036432, shared by 24 NPIs, 399 clinicians

Practice addresses (Care Compare)

2715 Charlestown Pike
Jeffersonville, IN 47130-8163
Phone (812) 933-8267

9107 Taylorsville Rd
Apt 137
Louisville, KY 40299-1723
Phone (502) 380-6585

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 12, 2024 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC Physical Therapist CurrentSince Sep 16, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist Current Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Sep 16, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Next PT Group Kentucky, LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Aug 11, 2023 Accepting new patients
Aegis Group Practice LLC Physical Therapist CurrentSince Sep 12, 2024 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

10210 Long Home Rd
Louisville, KY 40291
Phone (502) 231-4522

13600 La Grange Rd
Louisville, KY 40245
Phone (502) 855-7500

2400 Arnold Palmer Blvd
Louisville, KY 40245
Phone (502) 541-5641

3535 Bardstown Rd
Louisville, KY 40218
Phone (502) 459-1400

9107 Taylorsville Rd
Apt 137
Louisville, KY 40299
Phone (502) 380-6585

9701 Whipps Mill Rd
Louisville, KY 40223
Phone (502) 426-2778

6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 287-3917

300 Medical Pkwy
Lakeway, TX 78738
Phone (737) 263-0448

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1578165890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 BREELAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412604",
            "telephone_number": "502-541-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ARNOLD PALMER BLVD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402453222",
            "telephone_number": "502-541-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINECKE",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "004051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.