Active NPI
Tanya Layne Travis, OTR
- Occupational Therapist
- Grand Junction, CO
National Provider Identifier
1295041721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 887
- Practice address
- 518 28 Rd
Suite 200a
Grand Junction, CO 81501-6556 - Phone
- (970) 245-3565
- Fax
- (970) 208-9139
- NPI assigned
- Aug 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 887 | CO | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 887 | CO | |
| Pediatric Occupational Therapist | 225XP0200X | 887 | CO |
Addresses
Primary practice location
518 28 Rd
Suite 200a
Grand Junction, CO 81501-6556
Mailing address
518 28 Rd
Suite 200a
Grand Junction, CO 81501-6556
Phone (970) 245-3565
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 |
|---|---|---|---|
| 887 | CO | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282348800000",
"number": "1295041721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 28 RD",
"address_2": "SUITE 200A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016556",
"telephone_number": "970-245-3565",
"fax_number": "970-208-9139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 28 RD",
"address_2": "SUITE 200A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815016556",
"telephone_number": "970-245-3565",
"fax_number": "970-208-9139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "TANYA",
"middle_name": "LAYNE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-21",
"last_updated": "2010-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CO",
"license": "887",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "CO",
"license": "887",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "CO",
"license": "887",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.