Double T Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

DOUBLE T MEDICAL TRANSPORT

Practice address

11394 Bayberry Dr
Roscoe, IL 61073-9105

Phone

(815) 668-3777

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Travas James Tucker, LPN,LNHA

Title

Ceo

Phone

(815) 668-3777

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1073397063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11394 BAYBERRY DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739105",
            "telephone_number": "815-668-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11394 BAYBERRY DR",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610739105",
            "telephone_number": "815-668-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE T MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "TRAVAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-668-3777",
        "authorized_official_credential": "LPN,LNHA"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Didomenico
• Cody Allen Digiovanni, PT
• Natalie Dileonardo, MD
• Kim Marie Donovan, LCSW
• Randi D Dotseth, PHARMD
• Nathan Dufoe
• Matthew C Dziarski, D.M.D
• East West Chiropractic Health Center LTD
• Daniel Eberdt, FNP-C
• Jeanette Marie Edie, CNS APRN CWOCN CFC

• Non-emergency Medical Transport (VAN) in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.