Justin Thomas Travis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

005315 Issued in KY

Practice address

2624 Ring Rd
Suite 101
Elizabethtown, KY 42701-9118

Phone

(270) 900-4052

Fax

(270) 900-4054

NPI assigned

Jun 29, 2008

Last updated

Jul 10, 2014By the provider in NPPES

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 KY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Saint Louis University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Pros LLCGroup PAC ID 1254574700, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Physical Therapy Pros LLC

  dba Physical Therapy Way LLC

  • Physical Therapy Clinic/Center
  • Elizabethtown, KY
  • NPI 1609210194
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1760644983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427021559",
            "telephone_number": "270-900-4052",
            "fax_number": "270-900-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 RING RD",
            "address_2": "SUITE 101",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019118",
            "telephone_number": "270-900-4052",
            "fax_number": "270-900-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JUSTIN",
        "middle_name": "THOMAS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-29",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "005315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tough Little Champions Pediatric Physical Therapy, LLC
• Ernest Lee Towns, CADC, CADAC-II
• Heidi Trainor
• Tranquility Springs LLC
• Mary Ann Travillian, APRN
• Lori S. Travis, AU.D.
• Chaney Troutman, PA-C
• True North Healthcare Center
• Roxanne Ognibene True, MS LD RD
• Andrea Tucker

• Physical Therapist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.