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

Individual provider Pediatric Physical Therapist · NPI 1619797412

Tracey Reisch, PT, DPT is a Pediatric Physical Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5473 Kearny Villa Rd Ste 100
San Diego, CA 92123-1160
Phone: (858) 565-6910
Fax: (858) 565-6911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 306983 (CA)

Record details

NPI number1619797412
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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