Individual provider Active NPI

Travis English Macrides, DPT

  • Physical Therapist
  • Concord, NC
National Provider Identifier
1467112680
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P23990 Issued in NC
Practice address
5651 Poplar Tent Rd Ste 201
Concord, NC 28027-8504
Phone
(704) 403-3696
NPI assigned
Dec 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 048290 NY
Physical Therapist 225100000X P23990 NC Primary

Addresses

Primary practice location

5651 Poplar Tent Rd Ste 201
Concord, NC 28027-8504

Mailing address

5651 Poplar Tent Rd Ste 201
Concord, NC 28027-8504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220105002593 NY Practitioner - Physical Therapist in Private Practice 4183015977
I20260202001492 NC Practitioner - Physical Therapist in Private Practice 4183015977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Health Specialty Network IncGroup PAC ID 5193245801, 248 clinicians

Practice addresses (Care Compare)

3030 Randolph Rd
Suite 105a
Charlotte, NC 28211-1365
Phone (704) 512-4420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P23990NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga Physical Therapy Physical Therapist CurrentSince Jan 3, 2021 Accepting new patients
Atrium Health Specialty Network Inc Physical Therapist CurrentSince Sep 27, 2025 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist CurrentSince Jan 3, 2021 Accepting new patients
Onondaga Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

3030 Randolph Rd
Ste 105A
Charlotte, NC 28211
Phone (704) 512-4420

4525 Cameron Valley Pkwy
Charlotte, NC 28211
Phone (704) 355-5100

5651 Poplar Tent Rd
Ste 201
Concord, NC 28027
Phone (704) 403-3696

19 E Genesee St
Ste 103
Baldwinsville, NY 13027

6800 E Genesee St
Fayetteville, NY 13066
Phone (315) 446-4400

8390 Oswego Rd
Liverpool, NY 13090
Phone (315) 652-4323

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1467112680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 POPLAR TENT RD STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 POPLAR TENT RD STE 201",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278504",
            "telephone_number": "704-403-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACRIDES",
        "first_name": "TRAVIS",
        "middle_name": "ENGLISH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-29",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "048290",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P23990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.