Active NPI
Danielle Dawn Travis, PTA
- Physical Therapy Assistant
- Hendersonville, NC
National Provider Identifier
1073954319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 5042
- Practice address
- 600 Carolina Village Rd
Hendersonville, NC 28792-2892 - Phone
- (828) 692-6275
- NPI assigned
- Jul 15, 2013
- Last updated
- Jul 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 5042 | NC | Primary |
| Physical Therapy Assistant | 225200000X | 2953 | SC |
Addresses
Primary practice location
600 Carolina Village Rd
Hendersonville, NC 28792-2892
Mailing address
720 W Blue Ridge Rd
East Flat Rock, NC 28726-2712
Phone (828) 606-8649
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5042 | NC | MD | Physical Therapy Assistant |
| 2953 | SC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373846400000",
"number": "1073954319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W BLUE RIDGE RD",
"city": "EAST FLAT ROCK",
"state": "NC",
"postal_code": "287262712",
"telephone_number": "828-606-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CAROLINA VILLAGE RD",
"city": "HENDERSONVILLE",
"state": "NC",
"postal_code": "287922892",
"telephone_number": "828-692-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "DANIELLE",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-15",
"last_updated": "2013-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "5042",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "SC",
"license": "2953",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hendersonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.