Individual provider Active NPI

Travis Wayne Tarr, MPT

  • Physical Therapist
  • Barboursville, WV
National Provider Identifier
1497083869
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2774 Issued in WV
Practice address
3552 US Route 60 E
Barboursville, WV 25504-1639
Phone
(304) 733-9560
Fax
(304) 733-1141
NPI assigned
Nov 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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 2774 WV Primary

Addresses

Primary practice location

3552 US Route 60 E
Barboursville, WV 25504-1639

Mailing address

3552 US Route 60 E
Barboursville, WV 25504-1639
Phone (304) 733-9560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101110000382 WV Practitioner - Physical Therapist in Private Practice 9537224563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Generations R.C., Inc. 13 clinicians

Practice addresses (Care Compare)

13 Kanawha Blvd W
Suite 300
Charleston, WV 25302-2350
Phone (304) 757-2500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2774WVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Generations R.C., Inc Physical Therapist Current Accepting new patients
Generations R.C., Inc. Physical Therapist CurrentSince Sep 12, 2010 Accepting new patients
Generations R.C. Inc. Physical Therapist CurrentSince Sep 12, 2010 Accepting new patients

Locations

7966 US Route 60
Barboursville, WV 25504
Phone (304) 733-9560

100 Marshall St N
Ste 2
Benwood, WV 26031
Phone (304) 218-2300

13 Kanawha Blvd W
Ste 300
Charleston, WV 25302
Phone (304) 757-2500

3705 Teays Valley Rd
Ste 100
Hurricane, WV 25526
Phone (304) 757-2500

305 E Main St
Milton, WV 25541
Phone (304) 743-6995

4002 40th St
Nitro, WV 25143
Phone (304) 757-2500

12510 Winfield Rd
Winfield, WV 25213
Phone (304) 586-4200

Organizations & group practices 3

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1497083869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041639",
            "telephone_number": "304-733-9560",
            "fax_number": "304-733-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 US ROUTE 60 E",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041639",
            "telephone_number": "304-733-9560",
            "fax_number": "304-733-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARR",
        "first_name": "TRAVIS",
        "middle_name": "WAYNE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WV",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barboursville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.