Active NPI
Travis Neff
- Physical Therapist
- Liberty, MO
National Provider Identifier
1295845816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 2105 Kara CT
Suite a-1
Liberty, MO 64068-1392 - Phone
- (816) 377-5141
- NPI assigned
- Aug 30, 2006
- Reactivated
- Nov 3, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2105 Kara CT
Suite a-1
Liberty, MO 64068-1392
Mailing address
2105 Kara CT
Suite a-1
Liberty, MO 64068-1392
Phone (816) 377-5141
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2003028762 | Other | MO | LICENSE# |
| MA1102001 | Other | MO | MEDICARE PTAN |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541203200000",
"number": "1295845816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 KARA CT",
"address_2": "SUITE A-1",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681392",
"telephone_number": "816-377-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 KARA CT",
"address_2": "SUITE A-1",
"city": "LIBERTY",
"state": "MO",
"postal_code": "640681392",
"telephone_number": "816-377-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEFF",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2018-11-03",
"deactivation_date": "2017-10-16",
"reactivation_date": "2018-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "2003028762",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "MA1102001",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Liberty, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.