Individual provider Active NPI

Travis Evan Quinn, MD

  • Physical Medicine & Rehabilitation Physician
  • Viera, FL
National Provider Identifier
1366977001
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
148903 Issued in FL
Practice address
8050 Spyglass Hill Rd
Viera, FL 32940-7983
Phone
(201) 654-6397
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT212681 PA
Physical Medicine & Rehabilitation Physician 208100000X 148903 FL Primary

Addresses

Primary practice location

8050 Spyglass Hill Rd
Viera, FL 32940-7983

Mailing address

PO Box 22249
New York, NY 10087-0001
Phone (016) 546-3972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210428003082 FL Practitioner - Physical Medicine and Rehabilitation 7810253457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of Ny Upstate Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3033 Sarno Rd
Melbourne, FL 32934-7229
Phone (201) 654-6397

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
73.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
148903FLMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Apr 1, 2021 Accepting new patients

Locations

703 S 29th St
Fort Pierce, FL 34947
Phone (201) 654-3130

1615 Miami Rd
Ft Lauderdale, FL 33316
Phone (954) 523-5673

4251 Stack Blvd
Melbourne, FL 32901
Phone (321) 953-2214

3033 Sarno Rd
Melbourne, FL 32934
Phone (321) 243-8593

500 Crockett Blvd
Merritt Island, FL 32953
Phone (321) 454-4035

125 Alma Blvd
Merritt Island, FL 32953
Phone (321) 453-0202

12505 NE 16th Ave
North Miami, FL 33161
Phone (305) 891-1210

1515 Port Malabar Blvd NE
Palm Bay, FL 32905
Phone (321) 723-1235

587 Barton Blvd
Rockledge, FL 32955
Phone (321) 632-6300

2811 Campus Hill Dr
Tampa, FL 33612
Phone (813) 972-9700

2355 Vidina Dr
Viera, FL 32940
Phone (321) 775-6800

8050 Spyglass Rd
Viera, FL 32940
Phone (321) 752-1000

7201 Greenboro Dr
West Melbourne, FL 32904
Phone (321) 727-0990

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1366977001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22249",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "016-546-3972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 SPYGLASS HILL RD",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329407983",
            "telephone_number": "201-654-6397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "TRAVIS",
        "middle_name": "EVAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT212681",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "148903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viera, FL

Sources for this page

Verify at the official NPI Registry.