Individual provider Active NPI

Travis Fetchko

  • Physical Therapist
  • Toledo, OH
National Provider Identifier
1043755283
Registry record updated Oct 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022025 Issued in OH
Practice address
4349 Talmadge Rd
Toledo, OH 43623-3527
Phone
(419) 654-8818
NPI assigned
Dec 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022025 OH Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

4349 Talmadge Rd
Toledo, OH 43623-3527

Mailing address

4349 Talmadge Rd
Toledo, OH 43623-3527
Phone (419) 654-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910000698 OH Practitioner - Physical Therapist in Private Practice 9638672413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Pain Services, PLLGroup PAC ID 8921912189, 19 clinicians
PT Link LLCGroup PAC ID 4587805940, 27 clinicians

Practice addresses (Care Compare)

3400 Meijer Dr
Toledo, OH 43617-1166
Phone (419) 843-1369

4349 Talmadge Rd
Toledo, OH 43623-3527
Phone (419) 559-5591

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022025OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Link LLC Physical Therapist CurrentSince Aug 28, 2025 Accepting new patients
Toledo Pain Services, PLL CurrentSince Aug 28, 2025 Accepting new patients
Toledo Pain Services, PLL CurrentSince Aug 28, 2025 Accepting new patients

Locations

846 S Coy Rd
Ste 100
Oregon, OH 43616

4210 W Sylvania Ave
Ste 102
Toledo, OH 43623
Phone (419) 350-3347

4349 Talmadge Rd
Toledo, OH 43623
Phone (419) 654-8818

5151 Monroe St
Ste 104
Toledo, OH 43623

3400 Meijer Dr
Toledo, OH 43617
Phone (419) 531-3500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1482710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760745600000",
    "number": "1043755283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233527",
            "telephone_number": "419-654-8818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 TALMADGE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233527",
            "telephone_number": "419-654-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCHKO",
        "first_name": "TRAVIS",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-26",
        "last_updated": "2025-10-18",
        "certification_date": "2025-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT022025",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.