Martin R Travis, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

955 Issued in SC

Practice address

1611 Carterett Ave
Charleston, SC 29407-4219

Phone

(843) 852-0373

NPI assigned

Aug 8, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1619123767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 CARTERETT AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074219",
            "telephone_number": "843-852-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 CARTERETT AVE",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074219",
            "telephone_number": "843-852-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "MARTIN",
        "middle_name": "R",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-08",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "SC",
            "license": "955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minh Khoa Tran, D.O.
• Quynh T Tran
• Uyen T Tran, DDS
• Philip Roger Trangmar, MD
• Tessa Virginia Pegram Trask, MA LPC
• Tanya Peacock Travis, L.AC
• John A Traynham, MD
• Natalia Trehan, DMD
• Elizabeth Trembley, MA, LPC
• John P Tressy, MA, LPC-S

• Athletic Trainer in Charleston, SC
• Providers in Charleston, SC by specialty
• Athletic Trainer in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; 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.