Active NPI
Travis Herald, DPT
- Physical Therapist
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305212191
- Practice address
- 109 Knotbreak Rd
Salem, VA 24153-5404 - Phone
- (540) 772-8022
- NPI assigned
- Sep 5, 2018
- Last updated
- Sep 24, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305212191 | VA | Primary |
Addresses
Primary practice location
109 Knotbreak Rd
Salem, VA 24153-5404
Mailing address
4533 Brambleton Ave
Roanoke, VA 24018-3436
Phone (540) 772-8022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
109 Knotbreak Rd
Salem, VA 24153-5404
Phone (540) 772-8022
29 Cedar Plateau Way
Daleville, VA 24083-1119
Phone (540) 591-6060
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.3 of 100
- Quality
- 71.18
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 79.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305212191 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucas Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Greenbrier Valley Physical Therapy LLC | Current | Accepting new patients | |
| Greenbrier Valley Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenbrier Valley Physical Therapy, LLC | Current | Accepting new patients | |
| Greenbrier Valley Physical Therapy, LLC | Past | Accepting new patients | |
| Greenbrier Valley Physical Therapy LLC | Past | Accepting new patients |
Locations
29 Cedar Plateau Way
Daleville, VA 24083
Phone (540) 591-6060
4325 Brambleton Ave
Ste A
Roanoke, VA 24018
4533 Brambleton Ave
Roanoke, VA 24018
Phone 5407728022 ext. 5616
109 Knotbreak Rd
Salem, VA 24153
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ridgeline Physical Therapy
- Physical Therapist
- Low Moor, VA
- NPI 1710537626
-
dba Ridgeline-Bath Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Hot Springs, VA
- NPI 1962018200
-
dba Bodyworks Physical Therapy
- Specialist
- Princeton, WV
- NPI 1447932744
-
dba Daleville Physical Therapy
- Physical Medicine & Rehabilitation Physician
- Daleville, VA
- NPI 1447892997
-
- Specialist
- Ronceverte, WV
- NPI 1407946932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1518449586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4533 BRAMBLETON AVE",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240183436",
"telephone_number": "540-772-8022",
"fax_number": "540-772-0294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 KNOTBREAK RD",
"city": "SALEM",
"state": "VA",
"postal_code": "241535404",
"telephone_number": "540-772-8022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERALD",
"first_name": "TRAVIS",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-05",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305212191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.