Individual provider Active NPI

Travis Tennie, DPT

  • Physical Therapist
  • Massapequa, NY
National Provider Identifier
1689126542
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
040903 Issued in NY
Practice address
5500 Merrick Rd
Massapequa, NY 11758-6231
Phone
(516) 798-3789
Fax
(516) 798-3589
NPI assigned
Oct 26, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040903 NY Primary

Addresses

Primary practice location

5500 Merrick Rd
Massapequa, NY 11758-6231

Mailing address

5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 798-3789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161121000803 NY Practitioner - Physical Therapist in Private Practice 9739468497 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond N Cecora PT PCGroup PAC ID 6002889946, 10 clinicians

Practice addresses (Care Compare)

5500 Merrick Rd
Massapequa, NY 11758-6231
Phone (516) 798-3789

Merit-based Incentive Payment System (MIPS)

Final score
94.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
81.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
040903NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Jun 1, 2024 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Jun 1, 2024 Accepting new patients
Raymond N Cecora PT PC Physical Therapist CurrentSince Nov 9, 2016 Accepting new patients
Bienetre Medical PC Physical Therapist CurrentSince Jul 6, 2025 Accepting new patients

Locations

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 797-2657

99 Hudson St
Fl 5
New York, NY 10013
Phone (646) 301-2578

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1689126542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-798-3789",
            "fax_number": "516-798-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-798-3789",
            "fax_number": "516-798-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNIE",
        "first_name": "TRAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "040903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.