Tracy Park, MD
NPI 1194712455 · Physical Medicine & Rehabilitation Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tracy Park, MD is a Physical Medicine & Rehabilitation Physician provider in Milwaukee, WI (NPI 1194712455).
Provider details
- NPI number
- 1194712455
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 30606 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician2081N0008XLicense 30606-020 (WI)
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-10-03
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Frequently asked questions
- What is Tracy Park's NPI number?
- Tracy Park's National Provider Identifier (NPI) is 1194712455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tracy Park's specialty?
- Tracy Park is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Tracy Park located?
- Tracy Park's practice location on file with NPPES is 4111 W Mitchell St, Milwaukee, WI 53215-1748.
- What is Tracy Park's phone number?
- The practice phone number listed in the NPPES registry for Tracy Park is (414) 385-8800.
- Does Tracy Park accept Medicare?
- Tracy Park is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tracy Park's NPI active?
- Yes — Tracy Park's NPI (1194712455) is active in the NPPES registry as of the last update on 2023-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.