Travis Physical Therapy & Sports Medicine Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

987 Issued in WV

Legal business name

TRAVIS PHYSICAL THERAPY & SPORTS MEDICINE INC

Practice address

RR 1 Box 75-3
Salem, WV 26426-9604

Phone

(304) 782-1052

Fax

(304) 782-1053

NPI assigned

Sep 6, 2005

Organization subpart

No

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

Authorized official

Name

John Todd Travis, ATC MS PTNPI 1972598191

Title

President Physical Therapist

Phone

(304) 782-1052

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Todd Travis, A.T.C., M.S., P.T.

  • Physical Medicine & Rehabilitation Physician
  • Salem, WV
  • NPI 1972598191
  Medicare reassignment Care Compare group NPD Authorized official
• Victoria Lynne Travis, PT, DPT

  • Physical Therapist
  • Salem, WV
  • NPI 1952916470
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1659365724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 75-3",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264269604",
            "telephone_number": "304-782-1052",
            "fax_number": "304-782-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 75-3",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264269604",
            "telephone_number": "304-782-1052",
            "fax_number": "304-782-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT  PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-782-1052",
        "authorized_official_credential": "ATC MS PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156442000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Taylor
• The Living Well Healing Hands Massage LLC
• Jamie Anne Todd
• Kayla Todd
• Jacqueline Louise Tokarcik
• Travis Physical Therapy & Sports Medicine Inc
• John Todd Travis, A.T.C., M.S., P.T.
• Victoria Lynne Travis, PT, DPT
• Jennifer Turner, APRN
• Mercy Underwood

• Physical Medicine & Rehabilitation Physician in Salem, WV
• Providers in Salem, WV by specialty
• Physical Medicine & Rehabilitation Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.