Individual provider Active NPI

Travis John Halseth, ATC

  • Athletic Trainer
  • Eugene, OR
National Provider Identifier
1528953148
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-AT-10114634 Issued in OR
Practice address
2727 Leo Harris Pkwy
Eugene, OR 97401-8835
Phone
(541) 913-8571
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-AT-10114634 OR Primary

Addresses

Primary practice location

2727 Leo Harris Pkwy
Eugene, OR 97401-8835

Mailing address

1295 Hamilton St
Springfield, OR 97477-3598
Phone (554) 191-3857

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT-AT-10114634ORMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
University of Oregon PastSince Jun 15, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1528953148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 HAMILTON ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974773598",
            "telephone_number": "554-191-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 LEO HARRIS PKWY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018835",
            "telephone_number": "541-913-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALSETH",
        "first_name": "TRAVIS",
        "middle_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OR",
            "license": "AT-AT-10114634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.