Individual provider Active NPI

Travis J McKay, DPT

  • Physical Therapist
  • Torrance, CA
National Provider Identifier
1053306498
Registry record updated Feb 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT28704 Issued in CA
Practice address
4614 Del Amo Blvd
Torrance, CA 90503-1939
Phone
(310) 974-0456
NPI assigned
Sep 13, 2005
Last updated
Feb 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT28704 CA Primary

Addresses

Primary practice location

4614 Del Amo Blvd
Torrance, CA 90503-1939

Mailing address

1920 Arlington Ave
Torrance, CA 90501-3529
Phone (310) 429-1754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060510000632 CA Practitioner - Physical Therapist in Private Practice 8820009434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therex Station Physical Therapy Inc.Group PAC ID 6507250388, 3 clinicians

Practice addresses (Care Compare)

4614 Del Amo Blvd
Torrance, CA 90503-1939
Phone (310) 974-0456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28704CAMDGeneral Practice Dentistry
PT28704CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wavefit Physical Therapy, Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Therex Station Physical Therapy Inc. Physical Therapist CurrentSince Aug 13, 2021 Accepting new patients
Water PT Specialists Inc Physical Therapist CurrentSince Mar 1, 2022 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist Past Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist PastSince Jul 1, 1999 Accepting new patients
Christine L Spryer Physical Therapist PastSince Oct 22, 2001 Accepting new patients

Locations

2610 Artesia Blvd
Redondo Beach, CA 90278
Phone (310) 991-7751

23456 Hawthorne Blvd
Ste 300
Torrance, CA 90505
Phone (310) 316-6190

2433 Moreton St
Torrance, CA 90505
Phone (310) 325-0843

4614 Del Amo Blvd
Torrance, CA 90503
Phone (310) 974-0456

Interoperability endpoints

  • Direct secure messaging: travis.mckaydpt.p1@direct.bpasten.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644105600000",
    "number": "1053306498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 ARLINGTON AVE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013529",
            "telephone_number": "310-429-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031939",
            "telephone_number": "310-974-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "TRAVIS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2022-02-06",
        "certification_date": "2022-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT28704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2022; 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.