Active NPI
Travis Ray Huffman, PTA
- Physical Therapy Assistant
- Ste. Genevieve, MO
National Provider Identifier
1043467756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2006026941
- Practice address
- 21964 US Highway 61
Ste. Genevieve, MO 63670 - Phone
- (573) 883-9366
- Fax
- (573) 883-9377
- NPI assigned
- Aug 25, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2006026941 | MO | Primary |
Addresses
Primary practice location
21964 US Highway 61
Ste. Genevieve, MO 63670
Mailing address
21964 US Highway 61
Ste. Genevieve, MO 63670
Phone (573) 883-9366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006026941 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1043467756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21964 US HIGHWAY 61",
"city": "STE. GENEVIEVE",
"state": "MO",
"postal_code": "63670",
"telephone_number": "573-883-9366",
"fax_number": "573-883-9377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21964 US HIGHWAY 61",
"city": "STE. GENEVIEVE",
"state": "MO",
"postal_code": "63670",
"telephone_number": "573-883-9366",
"fax_number": "573-883-9377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUFFMAN",
"first_name": "TRAVIS",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-25",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "2006026941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ste. Genevieve, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.