Travis McDonald, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT41360 Issued in FL

Practice address

3030 Executive Dr
Venice, FL 34292-2613

Phone

(941) 485-1505

Fax

(941) 485-7495

NPI assigned

Feb 19, 2024

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 FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

In Motion Physical Therapy LLCGroup PAC ID 9830274240, 4 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.

• In Motion Physical Therapy LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • Jacksonville, FL
  • NPI 1679760862
  Medicare reassignment Care Compare group NPD
• Suncoast Orthopaedic Surgery & Sports Medicine, P.a.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Venice, FL
  • NPI 1982638730
  Medicare reassignment NPD
• In Motion Physical Therapy LLC

  dba Fyzical Therapy & Balance Centers

  • Physical Therapy Clinic/Center
  • St Augustine, FL
  • NPI 1629841408
  NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1730944711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 EXECUTIVE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922613",
            "telephone_number": "941-485-1505",
            "fax_number": "941-485-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 EXECUTIVE DR",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342922613",
            "telephone_number": "941-485-1505",
            "fax_number": "941-485-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "TRAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT41360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas McCormick, DPM
• Suzanne J McCormick, PHARMD
• Craig A McCullough, MD
• Heather C McCullough, MD
• Dennis Matthew McDonagh, COTA
• Donald Alvin McEachern, M.D.
• Paul Matthew McElligott, D.C.
• Diana McFarland, LMT
• Aquilla McGuire-Mays, PHARM.D.
• Steve McKelvy

• Physical Therapist in Venice, FL
• Providers in Venice, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.