Travis Vander Molen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

307215 Issued in CA

Practice address

3609 Oakdale Rd Ste 3
Modesto, CA 95357-0718

Phone

(209) 312-9591

Fax

(209) 661-4469

NPI assigned

Jan 27, 2025

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopedic Physical Therapy Institute, Inc.Group PAC ID 2264663822, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Orthopedic Physical Therapy Institute, Inc.

  • Physical Therapy Clinic/Center
  • Modesto, CA
  • NPI 1619398062
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1700699576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CAROLYN AVE",
            "city": "ESCALON",
            "state": "CA",
            "postal_code": "953202017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 OAKDALE RD STE 3",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953570718",
            "telephone_number": "209-312-9591",
            "fax_number": "209-661-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4028 Dale Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953569561",
            "country_code": "US",
            "telephone_number": "209-312-9739",
            "fax_number": "209-312-9747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDER MOLEN",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annah Van Vuren
• Arianna Van Winkle
• Martine Vancol Telcy
• Mara Vande Pol
• Lorese Gerlone Gomes Vandemark, DDS
• Chelsea Vander Veen
• Aundria M Vanderveur
• Sandra Joy Vanderwoude
• Emilee Vandyke
• Alyssa Lee Vang

• Physical Therapist in Modesto, CA
• Providers in Modesto, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; 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.