Travis Laird, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60467127 Issued in WA

Practice address

10004 204TH Ave E
Ste 3100
Bonney Lake, WA 98391-6539

Phone

(253) 863-7510

Fax

(253) 863-5970

NPI assigned

Aug 14, 2014

Last updated

Nov 10, 2017By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: travis.laird@1146.chartlogic.direct-ci.com

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1073912002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 12TH AVE N",
            "address_2": "STE 140W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591017507",
            "telephone_number": "406-237-5050",
            "fax_number": "406-238-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E",
            "address_2": "STE 3100",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-863-7510",
            "fax_number": "253-863-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "TRAVIS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60467127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038753",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0329680",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hailey Ashley Kunimura, DC
• Dmitriy Valeryevich Kurkov, PHARM.D
• Christine Faith Lafromboise, CDPT
• Shawna Lagasse, RN
• Gary Michael Lagerstrom, PHARM D
• Lake Tapps Chiropractic Center, L.L.C.
• Lark Dermatology
• Laurentaylor.Inc
• Staci Lay, LMP
• Chia Lee, DDS

• Physical Therapist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; 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.