Individual provider Active NPI

Travis Lowery, D.C.

  • Chiropractor
  • Tumwater, WA
National Provider Identifier
1104956036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00033825 Issued in WA
Practice address
200 W St SE Ste a
Tumwater, WA 98501-5200
Phone
(360) 786-8600
Fax
(360) 786-8603
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00033825 WA Primary

Addresses

Primary practice location

200 W St SE Ste a
Tumwater, WA 98501-5200

Mailing address

200 W St SE Ste a
Tumwater, WA 98501-5200
Phone (360) 786-8600

Other identifiers 2

IdentifierTypeStateIssuer
2027290MedicaidWA
209052OtherWALABOR AND INDUSTRIES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080919000170 WA Practitioner - Chiropractic 4385710516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Tumwater Blvd SE
Suite 205
Tumwater, WA 98501-6400
Phone (360) 786-8600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH00033825WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
C.H.I.R.O. Health Center PC Chiropractor CurrentSince May 19, 2008 Accepting new patients
Lowery Chiropractic Chiropractor Past Accepting new patients

Locations

111 Tumwater Blvd SE
Ste 205
Tumwater, WA 98501
Phone (360) 786-8600

200 W St SE
Ste A
Tumwater, WA 98501
Phone (360) 786-8600

Interoperability endpoints

  • Direct secure messaging: slowery@chcp0001.direct.chirotouch.md
  • Direct secure messaging: tlowery@chcp0001.direct.chirotouch.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104956036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ST SE STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015200",
            "telephone_number": "360-786-8600",
            "fax_number": "360-786-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ST SE STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015200",
            "telephone_number": "360-786-8600",
            "fax_number": "360-786-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWERY",
        "first_name": "TRAVIS",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00033825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027290",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "209052",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.