Travis Pediatric Therapy Center, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17454 Issued in TX

Legal business name

TRAVIS PEDIATRIC THERAPY CENTER, PLLC

Practice address

8117 Gladys Ave
Suite 103
Beaumont, TX 77706-4000

Phone

(409) 861-1000

Fax

(409) 861-2241

NPI assigned

Jul 19, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Teri Lynn Travis, M.S., CCC-SLP

Title

Owner/Speech Language Pathologist

Phone

(409) 861-1000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1548515141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8117 GLADYS AVE",
            "address_2": "SUITE 103",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064000",
            "telephone_number": "409-861-1000",
            "fax_number": "409-861-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8117 GLADYS AVE",
            "address_2": "SUITE 103",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777064000",
            "telephone_number": "409-861-1000",
            "fax_number": "409-861-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS PEDIATRIC THERAPY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "409-861-1000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Thanh Tran, PHARM.D
• Van Hung Tran, PHARMD
• Vincent V Tran, DO
• Hamineta Traore
• Tabitha Trapasso, MD
• Teri Lynn Travis, MSCCCSLP
• Alanna Traylor
• Ellen E Treadway, FNP-C
• Haley Brooke Treme, PT
• Cindy Lee Tremont, OTR

• Speech-Language Pathologist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.