Tracey Lynette King, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36347 Issued in CA

Practice address

3790 Via de la Valle
Suite 205 and 206
Del Mar, CA 92014-4247

Phone

(858) 350-6500

Fax

(858) 350-6505

NPI assigned

Mar 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Colorado School of Medicine, Denver, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RDM Physical Therapy PCGroup PAC ID 0840439907, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• RDM Physical Therapy PC

  • Physical Therapist
  • Del Mar, CA
  • NPI 1609210038
  Medicare reassignment Care Compare group NPD Authorized official
• Eggleton & Langton Physical Therapy Management Services

  • Physical Therapist
  • Calexico, CA
  • NPI 1851347686
  NPD (past)
• Eggleton & Langton Physical Therapy Management Services

  • Multi-Specialty Clinic/Center
  • Escondido, CA
  • NPI 1972229805

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1267747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1962725879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE",
            "address_2": "SUITE 205 AND 206",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144247",
            "telephone_number": "858-350-6500",
            "fax_number": "858-350-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 VIA DE LA VALLE",
            "address_2": "SUITE 205 AND 206",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920144247",
            "telephone_number": "858-350-6500",
            "fax_number": "858-350-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "TRACEY",
        "middle_name": "LYNETTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-05",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT36347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Kazem, M.D.
• Donna Ann Keehn, MFT79075
• Saleena Amol Kench, P.T.
• Sheida Ketabchi
• Min Kyung Kim, PA-C
• Kinli Health
• Colten Keanu Kozaki, PHARMD
• Monica Kramer, PH.D.
• Arnold Saul Kremer, D.O.
• Winnie Kuang, PHARMD

• Physical Therapist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.