Travis Gaines

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49842 Issued in CA

Practice address

1075 W State St Apt G202
Redlands, CA 92373-8141

Phone

(805) 340-7859

NPI assigned

Mar 1, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1043919897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E HIGHLAND AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923746233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 W STATE ST APT G202",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738141",
            "telephone_number": "805-340-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Fuller, DDS MS
• Functional Speech Therapy Inc (Functional Speech Therapy)
• Sina Ameen Furutan
• Phillip Gable, PH.D.
• Stuart Gaede
• Erica Leigh Gallegos, D.N.P.
• Ernest Elias Gallegos Jr., D.C.
• Kenny Gallegos
• Steva Gallion, MD
• Merari Areli Galvan Garcia

• Physical Therapy Assistant in Redlands, CA
• Providers in Redlands, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.