Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Tracy A Park, MD

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1194712455

Dr. Tracy A Park, MD is a Physical Medicine and Rehabilitation in Milwaukee, Wisconsin. Graduated from Wright State University Boonshoft School of Medicine in 1985, 41 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
41
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4111 W Mitchell St Ste 300
Milwaukee, WI 53215-1748
Phone: (414) 385-8800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 30606 (WI)
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081N0008X · Licence 30606-020 (WI)

Record details

NPI number1194712455
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 3, 2005
Last updated in NPPESJanuary 26, 2023
Certification dateJanuary 26, 2023
Mailing address4111 W Mitchell St, Ste 300, Milwaukee, WI 53215-1748

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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