Individual provider Active NPI

Travis W Manners, P.T.

  • Orthopedic Physical Therapist
  • Omaha, NE
National Provider Identifier
1700950730
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
13809 Industrial Rd
Omaha, NE 68137-1117
Phone
(402) 932-7111
Fax
(402) 932-6878
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X Primary

Addresses

Primary practice location

13809 Industrial Rd
Omaha, NE 68137-1117

Mailing address

13809 Industrial Rd
Suite 525
Omaha, NE 68137-1117
Phone (402) 932-7111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2133NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Orthopaedic Hospital LLC PastSince Jan 1, 2009 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/efffdd49-80a8-4c46-87e6-e53d54707ef3/

Organizations & group practices 1

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1700950730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13809 INDUSTRIAL RD",
            "address_2": "SUITE 525",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371117",
            "telephone_number": "402-932-7111",
            "fax_number": "402-932-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13809 INDUSTRIAL RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371117",
            "telephone_number": "402-932-7111",
            "fax_number": "402-932-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNERS",
        "first_name": "TRAVIS",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.