Victoria C Traven, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501303860 Issued in MI

Practice address

2472 Ashmun St
Sault Sainte Marie, MI 49783-3768

Phone

(906) 635-4426

NPI assigned

Feb 19, 2020

Last updated

Apr 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1245863141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 AUGUSTA ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833007",
            "telephone_number": "630-440-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2472 ASHMUN ST",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833768",
            "telephone_number": "906-635-4426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5435 28th Street Ct SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495466772",
            "country_code": "US",
            "telephone_number": "616-551-0078",
            "fax_number": "616-570-0458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVEN",
        "first_name": "VICTORIA",
        "middle_name": "C",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005861",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Thompson, LPC
• Randy Timbol
• Timothy Oconnor MD PC
• Michaela Titus
• Kathryn Jean Traven, FNP
• Julie A Trestrail, RD
• Tri-County Home Medical Equipment & Repairs LLC
• Alec Joseph Tuchowski, AGPCNP-BC
• Courtney Tyner
• U.P. Stress Center Psychological Solutions

• Physical Therapist in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.