Individual provider Active NPI

Travis Robinson, DPT

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1194374934
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14752-24 Issued in WI
Practice address
10222 74TH St Ste 211
Kenosha, WI 53142-6810
Phone
(262) 925-5020
NPI assigned
Sep 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14752-24 WI Primary

Addresses

Primary practice location

10222 74TH St Ste 211
Kenosha, WI 53142-6810

Mailing address

1607 Robin Hood PL
Highland Park, IL 60035-2233
Phone (847) 791-0061

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address trobinson229864@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190923002654 WI Practitioner - Physical Therapist in Private Practice 5193055887 Reassigns benefits to 3 organizations
I20201005002458 IL Practitioner - Physical Therapist in Private Practice 5193055887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tenderness Therapy Center LLCGroup PAC ID 4688198849, 2 clinicians

Practice addresses (Care Compare)

823 S Layton Blvd
Milwaukee, WI 53215-1225
Phone (414) 727-8806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Physical Therapy & Sports Rehab, LLC CurrentSince Jan 9, 2023 Accepting new patients
Rotate Rehabilitation and Performance Physical Therapist Current Accepting new patients
Omni Family Medical SC CurrentSince Jul 9, 2023 Accepting new patients
Physical Therapy Now LLC CurrentSince Sep 18, 2020 Accepting new patients
Omni Family Medical SC CurrentSince Jul 9, 2023 Accepting new patients
Tenderness Therapy Center LLC Physical Therapist CurrentSince Feb 28, 2025 Accepting new patients
PT Pros LLC Physical Therapist PastSince Sep 5, 2019 Accepting new patients

Locations

10222 74th St
Ste 211
Kenosha, WI 53142
Phone (262) 925-5020

823 S Layton Blvd
Milwaukee, WI 53215
Phone (414) 485-7411

1134 W North Ave
Milwaukee, WI 53205
Phone (414) 374-9575

7810 W Good Hope Rd
Milwaukee, WI 53223
Phone (414) 586-9255

112 Ash St
Ste A
Spooner, WI 54801
Phone (715) 635-3979

Interoperability endpoints

  • Direct secure messaging: trobinson229864@direct.myadvocateaurora.org

Organizations & group practices 8

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": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1194374934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 ROBIN HOOD PL",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600352233",
            "telephone_number": "847-791-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10222 74TH ST STE 211",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531426810",
            "telephone_number": "262-925-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TRAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-04",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "14752-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trobinson229864@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12500 Aurora Dr",
            "city": "Pleasant Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531581227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "12500 Aurora Dr",
            "city": "Pleasant Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531581227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.