Travis L. Wakefield, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1243 Issued in NV

Practice address

1140 W. Pioneer Blvd
Mesquite, NV 89027

Phone

(702) 346-1899

Fax

(702) 346-8581

NPI assigned

Oct 12, 2006

Last updated

Aug 29, 2022By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mesa View Physical Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Mesquite, NV
  • NPI 1487607883
  Authorized official Same address or phone

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1013006469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 757",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890240757",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 W. PIONEER BLVD",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "89027",
            "telephone_number": "702-346-1899",
            "fax_number": "702-346-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "TRAVIS",
        "middle_name": "L.",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003402786",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virgin Valley Dental
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• Vision Consultants
• W Milyani PC (Maverick Skin and Cancer)
• Ty S Wakefield, MSPT
• Wal-Mart Stores, Inc. (Vision Center 30-3847)
• Walgreen Co (Walgreens # 12646)
• Walmart Inc. (Walmart Pharmacy 10-3847)
• West Michigan Emdr Therapy and Consulting PLLC

• Physical Therapist in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.