Travis Coombs, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12202 Issued in TN

Practice address

225 Midway Medical Park
Bristol, TN 37620-1680

Phone

(423) 797-4555

Fax

(423) 797-4556

NPI assigned

Jan 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mrs. Travis Perkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1265072011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MIDWAY MEDICAL PARK",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201680",
            "telephone_number": "423-797-4555",
            "fax_number": "423-797-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MIDWAY MEDICAL PARK",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376201680",
            "telephone_number": "423-797-4555",
            "fax_number": "423-797-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOMBS",
        "first_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q055343",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVIS",
            "last_name": "PERKINS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Conley, OTRL
• Angela Lynn Conner, MS,RD,LDN
• Cassandra Marie Conry, D.C.
• Jalen Thomas Cook
• Patricia Ann Cook, PAC
• Carolyn Ruth Coomer, ASSOCIATES
• Todd A Cooper, D.C.
• Vicki Lane Cooper
• Amanda Dawn Cornett, FNP
• Kathleen Savage Cornett, PT

• Physical Therapist in Bristol, TN
• Providers in Bristol, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.