Tracy Lynn Chuck, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT26794 Issued in CA

Practice address

73600 Alessandro Dr
Palm Desert, CA 92260-3606

Phone

(760) 674-0675

Fax

(760) 674-0645

NPI assigned

Dec 1, 2005

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

Other identifiers 2

Other names 1

• Tracy Lynn Arnold Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jordan Physical Therapy Center IncGroup PAC ID 8325093693, 7 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.

• Jordan Physical Therapy Center Inc

  • Physical Therapist
  • Palm Desert, CA
  • NPI 1730260407
  Medicare reassignment Care Compare group NPD
• Dynamic Physical Therapy and Sports Performance, Inc

  • Physical Therapy Clinic/Center
  • Palm Desert, CA
  • NPI 1770958670

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253145600000",
    "number": "1972587079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE",
            "address_2": "STE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73600 ALESSANDRO DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603606",
            "telephone_number": "760-674-0675",
            "fax_number": "760-674-0645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUCK",
        "first_name": "TRACY",
        "middle_name": "LYNN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2009-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT26794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0PT267940",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00174988",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ARNOLD",
            "middle_name": "LYNN",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Junho Choi, DMD
• Alexander M Chop, PH.D. M.D.
• Lise Choukroun
• Yuta Chovexani
• Katherine Christiansen
• Alex Chujo, P.T.
• Nathan Church, PH.D., M.S.
• Talene Mary Churukian, DO
• Robert Ciarloni, PA
• Circe Healthcare Solutions, Inc.

• Physical Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.