Michael Ryan Travis, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AJ009550 Issued in PA

Practice address

3864 Courtney St
Suite 140
Bethlehem, PA 18017-8987

Phone

(610) 691-4444

Fax

(610) 691-4455

NPI assigned

Jan 30, 2007

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 PA

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Dr. Michael R. Travis, DC, PLLC

  • Chiropractor
  • Bethlehem, PA
  • NPI 1558290999
  NPD Authorized official
• Donna M Copertino PC

  • Rehabilitation Chiropractor
  • Bath, PA
  • NPI 1265508584
  Medicare reassignment
• Berks County Orthopedics

  • Chiropractor
  • Reading, PA
  • NPI 1477765287
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710024047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LARK LN",
            "city": "FLEETWOOD",
            "state": "PA",
            "postal_code": "195228912",
            "telephone_number": "610-944-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3864 COURTNEY ST",
            "address_2": "SUITE 140",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180178987",
            "telephone_number": "610-691-4444",
            "fax_number": "610-691-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "MICHAEL",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009744",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "AJ009550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tranquil Leaf Mental Health PLLC
• Carol A Trapp, CRNP
• Darren M Traub, D.O.
• Mason Trauger, PT, DPT
• Arnold Frank Traupman, MD
• Lisa Treffinger, OTR/L
• Jane Ellen Trego, AU.D.
• Christopher David Trend, MD
• Kevin Trexler, DPT
• Jana Tribble, MD

• Chiropractor in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.