Travis Terranova

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1201 Wesleyan St
Fort Worth, TX 76105-1536

Phone

(917) 531-7586

NPI assigned

Sep 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1710538657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 RIVEROAD CT APT 2501",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761160686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 WESLEYAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051536",
            "telephone_number": "917-531-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRANOVA",
        "first_name": "TRAVIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "travis.terranova1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "1201 Wesleyan St",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761051536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandyce Tennison, RN, BSN
• Doreen L Teoh, MD
• Laura Tepner, S.L.P.
• Benedict Anthony Termini, M.D.
• Terra Therapies, PLLC
• Aaron Daniel Terrasa
• Kollin James Terrell, DPT
• Madisen Terrell
• Mykel Morgan Terrell
• Rachel Terrell, SLP

• Athletic Trainer in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.