Organization Active NPI

Travel Rehab LLC

  • Physical Medicine & Rehabilitation Physician
  • Frisco, TX
National Provider Identifier
1275154189
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
TRAVEL REHAB LLC
Practice address
8404 Warren Pkwy Apt 1334
Frisco, TX 75034-7084
Phone
(312) 785-2062
NPI assigned
May 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Authorized official

Name
Aviona Federica Goetsch
Title
Owner
Phone
(469) 584-6846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

8404 Warren Pkwy Apt 1334
Frisco, TX 75034-7084

Mailing address

8404 Warren Pkwy Apt 1334
Frisco, TX 75034-7084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1275154189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8404 WARREN PKWY APT 1334",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8404 WARREN PKWY APT 1334",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750347084",
            "telephone_number": "312-785-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVEL REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "GOETSCH",
        "authorized_official_first_name": "AVIONA",
        "authorized_official_middle_name": "FEDERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-584-6846"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.