Christopher Michael Travis, OTR

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

110520 Issued in TX

Practice address

1000 Eden Dr
Longview, TX 75605-3139

Phone

(903) 353-1101

NPI assigned

Oct 10, 2019

Last updated

Oct 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1255900296
  Medicare reassignment NPD
• Building Bloks Pediatric Rehab LTD

  dba ABC Pediatric Rehabilitation and Autism Development Center

  • Rehabilitation Clinic/Center
  • McAllen, TX
  • NPI 1497800882
  NPD
• Building Bloks Pediatric Rehab LTD

  dba Abc Pediatric Rehabilitation & Autism Development Center

  • Rehabilitation Clinic/Center
  • Pharr, TX
  • NPI 1871767665
  NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730
  NPD
• Functional Pathways Preferred of Tennessee LLC

  • Physical Therapist
  • Knoxville, TN
  • NPI 1841561446
  NPD

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1477195402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EDEN DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756053139",
            "telephone_number": "903-353-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EDEN DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756053139",
            "telephone_number": "903-353-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "TX",
            "license": "110520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traditions Health Care of Longview, LLC (Traditions Health)
• Traditions Hospice of Longview, LLC (Traditions Health)
• Transformed Mindz Counseling Services
• Travis L Kendall DDS PLLC (Texas Sedation Dental & Implant Center)
• Allison McKnight Travis, MS, LPC
• Maria Trejo
• Mayra Trejo, LPC
• Troy W. Simmons DDS PC
• Joane Truly
• TSD Kendall & Gengel PLLC (Texas Sedation Dental & Implant Center)

• Gerontology Occupational Therapist in Longview, TX
• Providers in Longview, TX by specialty
• Gerontology Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.