Active NPI
Travis C Birrell, DPT
- Physical Therapist
- Airway Heights, WA
National Provider Identifier
1043915101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT60562444
- Practice address
- 11919 W Sprague Ave
Airway Heights, WA 99001-5295 - Phone
- (509) 244-6700
- NPI assigned
- Mar 30, 2023
- 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 Therapist | 225100000X | PT60562444 | WA | Primary |
Addresses
Primary practice location
11919 W Sprague Ave
Airway Heights, WA 99001-5295
Mailing address
2604 E 8TH Ave
Spokane, WA 99202-4218
Other practice location 1
711 S Cowley St
Spokane, WA 99202-1330
Phone (509) 473-6869
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT60562444 | Other | WA | PHYSICAL THERAPY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2772 S Grand Blvd
Spokane, WA 99203-2526
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT60562444 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1043915101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 E 8TH AVE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992024218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11919 W SPRAGUE AVE",
"city": "AIRWAY HEIGHTS",
"state": "WA",
"postal_code": "990015295",
"telephone_number": "509-244-6700"
}
],
"practiceLocations": [
{
"address_1": "711 S Cowley St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992021330",
"country_code": "US",
"telephone_number": "509-473-6869",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIRRELL",
"first_name": "TRAVIS",
"middle_name": "C",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60562444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY LICENSE",
"identifier": "PT60562444",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Airway Heights, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.