Amy Travnicek, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

25598 Issued in FL

Practice address

1501 W Cleveland St
Ste 220
Tampa, FL 33606-1812

Phone

(813) 805-8105

Fax

(813) 254-3055

NPI assigned

Sep 12, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Benford Former name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Performance and Physical Therapies Bayside LLCGroup PAC ID 0547593923, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Optimal Performance and Physical Therapies Bayside LLC

  • Physical Therapist
  • Clearwater, FL
  • NPI 1538630801
  Medicare reassignment Care Compare group NPD
• Optimal Performance and Physical Therapies Hyde Park LLC

  • Physical Therapist
  • Tampa, FL
  • NPI 1528381621
  Medicare reassignment NPD

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

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1588971576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21756 STATE ROAD 54 STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335492905",
            "telephone_number": "727-475-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W CLEVELAND ST",
            "address_2": "STE 220",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061812",
            "telephone_number": "813-805-8105",
            "fax_number": "813-254-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVNICEK",
        "first_name": "AMY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-12",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "25598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BENFORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Travelmax/Reflectx
• Thomas Travers, PT, DPT
• Yelamy Travieso Gonzalez
• Jennifer Travis, MSW
• Teresa Travis, MSW, LCSW, ACHP-SW
• Benjamin Treadway, LMHC
• Sarah Treadway, PHARMD
• Sydney Anne Treadway
• Jacob Treanor, MD
• Treasure Minds ABA Center LLC

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.