Provider Demographics
NPI:1952414625
Name:KARAS, TRACY A (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:A
Last Name:KARAS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1535 N SCOTTSDALE RD
Mailing Address - Street 2:APT 1145
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85281-1500
Mailing Address - Country:US
Mailing Address - Phone:602-751-7966
Mailing Address - Fax:
Practice Address - Street 1:9755 N 90TH ST
Practice Address - Street 2:SUITE A203
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5046
Practice Address - Country:US
Practice Address - Phone:602-751-7966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6154225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ105921Medicare PIN
AZ21123Medicare UPIN