Michael Travers

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT38218 Issued in FL

Practice address

4 9TH Ave Ste G
Shalimar, FL 32579-1742

Phone

(205) 919-9349

NPI assigned

Aug 12, 2015

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rehabit Physical Therapy

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1962186239
  Authorized official Same address or phone
• Pro Vita Physical Therapy LLC

  dba Pro Vita Physical Therapy - Shalimar

  • Physical Therapist
  • Fort Walton Beach, FL
  • NPI 1841944535
  NPD
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Shalimar, FL
  • NPI 1407382278
  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1629444757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 W AUDREY DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484591",
            "telephone_number": "205-919-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 9TH AVE STE G",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791742",
            "telephone_number": "205-919-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVERS",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21439",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT38218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Andress Stone IV, DMD
• The Healing Impact, Inc
• Tammy Marie Theriault
• Crystal Rose Thornton
• Jenna Toner, PHARMD
• Kristine Claire Troutman, APRN
• Monica Sheree Trujillo-Wilson, QASP-S
• Harold Earl Tullock, LMT
• Danielle Caryn Valcourt
• Norene M Vello, LPCC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.