Active NPI
Travis Stickle, D.C.
- Chiropractor
- Lynchburg, VA
National Provider Identifier
1306921200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104555954
- Practice address
- 20370A Timberlake Rd
Lynchburg, VA 24502-7213 - Phone
- (434) 238-0881
- NPI assigned
- Oct 26, 2006
- Last updated
- Apr 11, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104555954 | VA | Primary |
Addresses
Primary practice location
20370A Timberlake Rd
Lynchburg, VA 24502-7213
Mailing address
20370A Timberlake Rd
Lynchburg, VA 24502-7213
Phone (434) 238-0881
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00057525 | Other | VA | RAILROAD MEDICARE PIN |
| DA3963 | Other | VA | RAILROAD MEDICARE UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0104555954 | VA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Covington Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| The Spine Center of Roanoke Valley, Inc. | Chiropractor | Past | Accepting new patients |
| Chiropractic Health Center Inc | Chiropractor | Past | Accepting new patients |
Locations
222 N Court Ave
Covington, VA 24426
Phone (540) 962-0809
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Covington, VA
- NPI 1972790616
-
- Chiropractor
- Roanoke, VA
- NPI 1235278565
-
- Chiropractor
- Lynchburg, VA
- NPI 1891878963
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491868800000",
"number": "1306921200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20370A TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027213",
"telephone_number": "434-238-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20370A TIMBERLAKE RD",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245027213",
"telephone_number": "434-238-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STICKLE",
"first_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2017-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104555954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00057525",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE UPIN",
"identifier": "DA3963",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.