Travis Retzer, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36031 Issued in CA

Practice address

7224 Skyway
Paradise, CA 95969-3280

Phone

(530) 876-1006

NPI assigned

Sep 22, 2009

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pillsbury Physical Therapy

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1962442319

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1104150317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2122",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959672122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7224 SKYWAY",
            "city": "PARADISE",
            "state": "CA",
            "postal_code": "959693280",
            "telephone_number": "530-876-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RETZER",
        "first_name": "TRAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rcoa-Adventist Health, LLC
• Randal Douglas Reed, M.D.
• Robert B Reeve, M.D.
• Michael C Reilly, COTA
• Teresa Lynn Rein, RN, IBCLC
• Jorge Reyes, D.D.S.
• Santos Concepcion Reyes
• Richard P. Defrancisci M.D. Inc.
• Marc Alan Richmond
• Ridge Eye Care

• Physical Therapist in Paradise, CA
• Providers in Paradise, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.