Individual provider Active NPI

Katarina Travis

  • Physical Therapist
  • Bel Air, MD
National Provider Identifier
1720803539
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2227 Old Emmorton Rd Ste 121
Bel Air, MD 21015-6190
Phone
(443) 752-4711
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 NU Primary

Addresses

Primary practice location

2227 Old Emmorton Rd Ste 121
Bel Air, MD 21015-6190

Mailing address

2227 Old Emmorton Rd Ste 121
Bel Air, MD 21015-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251024001134 MD Practitioner - Physical Therapist in Private Practice 1153819719 Reassigns benefits to 1 organization
I20251215002597 DC Practitioner - Physical Therapist in Private Practice 1153819719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Made to Move LLCGroup PAC ID 5597088161, 8 clinicians

Practice addresses (Care Compare)

3901 National Dr
Suite 100
Burtonsville, MD 20866-1176
Phone (301) 421-1125

4000 Mitchellville Rd
Suite B222
Bowie, MD 20716-3148
Phone (301) 464-3775

7130 Minstrel Way
Ll110
Columbia, MD 21045-5261
Phone (240) 841-2639

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30217MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients
Made to Move LLC Dba Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince Sep 22, 2025 Accepting new patients
Forever Fit Physical Therapy & Wellness, LLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

4000 Mitchellville Rd
Ste B222
Bowie, MD 20716
Phone (301) 421-1125

3901 National Dr
Ste 100
Burtonsville, MD 20866
Phone (301) 232-3684

7130 Minstrel Way
Ste LL110
Columbia, MD 21045
Phone (240) 841-2639

10301 Georgia Ave
Ste 200
Silver Spring, MD 20902
Phone (301) 593-7300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1720803539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD STE 121",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 OLD EMMORTON RD STE 121",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210156190",
            "telephone_number": "443-752-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "KATARINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.