Individual provider Active NPI

Travis James Ledoyt, DPT

  • Physical Therapist
  • Peabody, MA
National Provider Identifier
1447482856
Registry record updated Aug 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
18045 Issued in MA
Practice address
100 Corporate PL Ste 103B
Peabody, MA 01960-3891
Phone
(978) 535-1213
NPI assigned
Aug 18, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 18045 MA Primary

Addresses

Primary practice location

100 Corporate PL Ste 103B
Peabody, MA 01960-3891

Mailing address

100 Corporate PL Ste 103B
Peabody, MA 01960-3891
Phone (978) 535-1213

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine North Orthopaedic Surgery, Inc Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Physical Therapy Services of Flatiron PC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients
Sports Medicine & Rehabilitation Therapy Inc Physical Therapist CurrentSince Jan 7, 2021 Accepting new patients
On the Go Physical Therapy LLC Physical Therapist Current Accepting new patients
Sports Medicine North Orthopaedic Surgery, Inc. Physical Therapist CurrentSince Jul 1, 2013 Accepting new patients
Healthy Edge Physical Therapy, Inc. Physical Therapist PastSince Jan 7, 2021 Accepting new patients

Locations

101 Arch St
Fl 8
Boston, MA 02110
Phone (212) 287-4257

1 Orthopedics Dr
Peabody, MA 01960
Phone (781) 595-4562

328 Main St
Reading, MA 01867
Phone (781) 324-0310

Organizations & group practices 6

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": "1250553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1447482856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE PL STE 103B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603891",
            "telephone_number": "978-535-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE PL STE 103B",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019603891",
            "telephone_number": "978-535-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDOYT",
        "first_name": "TRAVIS",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-18",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "18045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.