Individual provider Active NPI

Travis E. Schoen, MSPT, PT

  • Physical Therapist
  • South Weymouth, MA
National Provider Identifier
1215920384
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13238 Issued in MA
Practice address
541 Main St
Suite 103
South Weymouth, MA 02190-1868
Phone
(781) 331-9600
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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 13238 MA Primary

Addresses

Primary practice location

541 Main St
Suite 103
South Weymouth, MA 02190-1868

Mailing address

46 Rosemont St
#2
Dorchester, MA 02122-2449

Other practice location 1

360 Brockton Ave Ste 205
Abington, MA 02351-2186
Phone (781) 878-5550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13238MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bay State Physical Therapy of Randolph Inc Physical Therapist CurrentSince Jan 2, 2019 Accepting new patients

Locations

360 Brockton Ave
Ste 205
Abington, MA 02351
Phone (781) 878-5550

703 Granite St
Ste 3
Braintree, MA 02184

1 Pearl St
Ste 1700
Brockton, MA 02301
Phone (508) 427-0525

1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339

26 S Main St
Randolph, MA 02368
Phone (781) 961-9200

1054 County St
Somerset, MA 02726
Phone (508) 674-3340

4 Valente Dr
Westborough, MA 01581
Phone (508) 870-1320

Organizations & group practices 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1215920384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 ROSEMONT ST",
            "address_2": "#2",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021222449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 103",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-331-9600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 Brockton Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Abington",
            "state": "MA",
            "postal_code": "023512186",
            "country_code": "US",
            "telephone_number": "781-878-5550",
            "fax_number": "781-878-5472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOEN",
        "first_name": "TRAVIS",
        "middle_name": "E.",
        "credential": "MSPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "13238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.