Travis Plymell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2017025085 Issued in MO

Practice address

1200 W College St
Liberty, MO 64068-1036

Phone

(816) 781-3020

NPI assigned

Mar 19, 2019

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

State licenses

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

{
    "created_epoch": "1552953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1083173983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9315 BALES AVE APT 302",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641322887",
            "telephone_number": "660-373-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W COLLEGE ST",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "640681036",
            "telephone_number": "816-781-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLYMELL",
        "first_name": "TRAVIS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-19",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MO",
            "license": "2017025085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Piontek, MD
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• Trent Andrew Platz, A.A.
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• Lorianne Plummer
• Emily Elizabeth Pope
• John Brian Pope, M.D.
• Thomas Porter, MD
• Chloe Mae Prater
• Preferred Family Healthcare, Inc

• Physical Therapy Assistant in Liberty, MO
• Providers in Liberty, MO by specialty
• Physical Therapy Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.