Carlene Travis

Primary specialty

Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X

License

2022252916891 Issued in CA

Practice address

9219 Rainbow Creek Way
Elk Grove, CA 95624-4814

Phone

(916) 289-0659

NPI assigned

Dec 7, 2022

Sex

Female

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

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.

• Travis &Family Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Elk Grove, CA
  • NPI 1003633421
  NPD Authorized official

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1104537406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 COTTAGE WAY STE G2",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251474",
            "telephone_number": "888-204-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 RAINBOW CREEK WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244814",
            "telephone_number": "916-289-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "CARLENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "CA",
            "license": "2022252916891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tien Nguyen Tran, PHARM.D
• Tracy Tran
• Trang Thu Tran, RN, FNP-C
• Tori L. Trask, LMFT
• Travis &Family Transport LLC
• Elizabeth Trebotich
• Alex Tregembo
• Kayla Trejo, PSY.D.
• Yesenia Trejo
• Miranda Sharon Treleaven, M.S.

• Occupational Therapy Assistant in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.