Terran Travis, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

308255 Issued in CA

Practice address

6234 Rose Lake Ave
San Diego, CA 92119-3343

Phone

(509) 539-7458

NPI assigned

Nov 16, 2022

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

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.

• Terran Through Milestones LLC

  • Pediatric Physical Therapist
  • San Diego, CA
  • NPI 1790614717

  Pediatrics

  NPD Authorized official
• Sacred Heart University, Inc

  • Physical Therapist
  • Fairfield, CT
  • NPI 1154678928
  NPD (past)

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1225747504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 ROSE LAKE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193343",
            "telephone_number": "509-539-7458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 ROSE LAKE AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921193343",
            "telephone_number": "509-539-7458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "TERRAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CA",
            "license": "308255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Traver, BSW
• Danielle Marie Travers
• Traverse Psychological Services
• Jessica Travis, MD
• Kimber Rena Travis
• Joseph Traxler, M.D.
• Kathleen Traxler
• Janet Traylor, MA, LMFT
• Shannon Traylor
• Joleen Trear

• Pediatric Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Pediatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.