Travis Green, ATR

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

1423 Issued in MN

Practice address

5595 Memorial Ave N
Oak Park Heights, MN 55082-1091

Phone

(651) 439-4488

NPI assigned

Feb 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336280361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 JANERO AVE S",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163419",
            "telephone_number": "651-214-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5595 MEMORIAL AVE N",
            "city": "OAK PARK HEIGHTS",
            "state": "MN",
            "postal_code": "550821091",
            "telephone_number": "651-439-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "TRAVIS",
        "credential": "ATR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MN",
            "license": "1423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claire Anna Garber, DO
• Justin A. Gerstner, M.D.
• Jacqueline Gierok, DPT
• Marissa Elizabeth Gilbertson
• Benjamin Matthew Graham, PA-C
• Andrew C Grupa, PT
• Paul Dean Hartleben, MD
• Cathleen Harvieux, LADC
• Matthew A Hofkens, D.O.
• Nicholas Neal Holmes, MD

• Athletic Trainer in Oak Park Heights, MN
• Providers in Oak Park Heights, MN by specialty
• Athletic Trainer in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.