Justin Bruce Traveller, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6859851-1202 Issued in UT

Practice address

301 N 200 E
Suite 1B
St George, UT 84770-3010

Phone

(435) 674-2626

Fax

(435) 628-5999

NPI assigned

Jan 14, 2008

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

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

JT LLCGroup PAC ID 5092095729, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• JT LLC

  • Sports Physician Chiropractor
  • Saint George, UT
  • NPI 1770033672

  UT

  Medicare reassignment Care Compare group NPD Authorized official
• Senior Healthlynk

  • Chiropractor
  • St. George, UT
  • NPI 1629257175
  NPD (past)
• Zion Health Management Services

  • Chiropractor
  • St George, UT
  • NPI 1881621795
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1386820975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 S RIVER RD",
            "address_2": "STE B100",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908365",
            "telephone_number": "435-218-7250",
            "fax_number": "435-218-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 200 E",
            "address_2": "SUITE 1B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703010",
            "telephone_number": "435-674-2626",
            "fax_number": "435-628-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVELLER",
        "first_name": "JUSTIN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "UT",
            "license": "6859851-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willie C Townsend III
• Kelly Towsey
• Matthew Towsey
• Tracy Kvarfordt MD PC
• Trauma Treatment & Counseling LLC
• Michael O Tremea, MD
• Trenton L Overall, Inc
• Jae Trese
• Tri-Fit Therapy
• Emilee Maren Trias, CMHC

• All providers in St George, UT
• Chiropractor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.