Travis Physical Therapy & Sports Medicine Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

987 Issued in WV

Legal business name

TRAVIS PHYSICAL THERAPY & SPORTS MEDICINE INC

Practice address

RR 1 Box 75-3
Salem, WV 26426-9604

Phone

(304) 782-1052

Fax

(304) 782-1053

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

John Todd Travis, ATC MS PTNPI 1972598191

Title

President Physical Therapist

Phone

(304) 782-1052

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Todd Travis, A.T.C., M.S., P.T.

  • Physical Medicine & Rehabilitation Physician
  • Salem, WV
  • NPI 1972598191
  Authorized official Same address or phone
• Victoria Lynne Travis, PT, DPT

  • Physical Therapist
  • Salem, WV
  • NPI 1952916470
  NPD

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1760557565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 75-3",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264269604",
            "telephone_number": "304-782-1052",
            "fax_number": "304-782-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 75-3",
            "city": "SALEM",
            "state": "WV",
            "postal_code": "264269604",
            "telephone_number": "304-782-1052",
            "fax_number": "304-782-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS PHYSICAL THERAPY & SPORTS MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "304-782-1052",
        "authorized_official_credential": "ATC MS PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WV",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156442000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Living Well Healing Hands Massage LLC
• Jamie Anne Todd
• Kayla Todd
• Jacqueline Louise Tokarcik
• Travis Physical Therapy & Sports Medicine Inc
• John Todd Travis, A.T.C., M.S., P.T.
• Victoria Lynne Travis, PT, DPT
• Jennifer Turner, APRN
• Mercy Underwood
• Tina Vanhorn

• Durable Medical Equipment & Medical Supplies in Salem, WV
• Providers in Salem, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.