Travis Erwin, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A-0842 Issued in NM

Practice address

2221 Dillon Rd
Clovis, NM 88101-9454

Phone

(575) 762-4495

Fax

(575) 762-8051

NPI assigned

Mar 23, 2015

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Mr. Travis Brandon Erwin Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 23, 2015.

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1275927774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 DILLON RD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019454",
            "telephone_number": "575-762-4495",
            "fax_number": "575-762-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 DILLON RD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881019454",
            "telephone_number": "575-762-4495",
            "fax_number": "575-762-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "TRAVIS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "A-0842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVIS",
            "last_name": "ERWIN",
            "middle_name": "BRANDON",
            "prefix": "MR.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Enmrsh, Inc.
• Enmrsh, Inc.
• Bethany Ensmenger
• Paige Lavonne Erickson, RN
• Shirley Evelyn Erickson
• David Collado Estabillo, FNP
• Excelacare Hospice of Eastern New Mexico LLC
• Eye Associates of New Mexico, LTD.
• Fairhaven II Quality Assisted Living
• Yolanda Fajardo-Vela, M.A. COUNSELING

• All providers in Clovis, NM
• Physical Therapy Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.