Active NPI
Travis William Prothro, DC
- Chiropractor
- League City, TX
National Provider Identifier
1255850848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13560
- Practice address
- 1620 W. FM 646
Suite C
League City, TX 77573 - Phone
- (281) 724-0088
- NPI assigned
- Sep 14, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13560 | TX | Primary |
Addresses
Primary practice location
1620 W. FM 646
Suite C
League City, TX 77573
Mailing address
1315 Nasa Pkwy Apt 258
Houston, TX 77058-3161
Phone (281) 785-3389
Other practice location 1
2680 Pearland Pkwy Ste 140
Pearland, TX 77581-5358
Phone (346) 229-5810
Other practice location 2
2810 Business Center Dr
Pearland, TX 77584-9781
Phone (281) 205-0077
Other practice location 3
19431 Gatebrook Dr Ste 2
Webster, TX 77598-4337
Phone (281) 823-9281
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13560 | TX | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1255850848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1315 NASA PKWY APT 258",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583161",
"telephone_number": "281-785-3389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 W. FM 646",
"address_2": "SUITE C",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "77573",
"telephone_number": "281-724-0088"
}
],
"practiceLocations": [
{
"address_1": "2680 Pearland Pkwy Ste 140",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775815358",
"country_code": "US",
"telephone_number": "346-229-5810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2810 Business Center Dr",
"address_purpose": "LOCATION",
"city": "Pearland",
"state": "TX",
"postal_code": "775849781",
"country_code": "US",
"telephone_number": "281-205-0077",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19431 Gatebrook Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Webster",
"state": "TX",
"postal_code": "775984337",
"country_code": "US",
"telephone_number": "281-823-9281",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROTHRO",
"first_name": "TRAVIS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.