Active NPI
Travis James Hutchinson, PT, DPT
- Physical Therapist
- Menifee, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT294361
- Practice address
- 29650 Bradley Rd
Menifee, CA 92586-6521 - Phone
- (951) 672-0455
- NPI assigned
- Feb 16, 2018
- Last updated
- Feb 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT294361 | CA | Primary |
Addresses
Primary practice location
29650 Bradley Rd
Menifee, CA 92586-6521
Mailing address
515 Scarlet PL
San Marcos, CA 92069-3280
Phone (623) 512-3152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1645 S Rancho Santa Fe Rd
Suite 101
San Marcos, CA 92078-5188
Phone (858) 848-6639
722 Genevieve St
Suite Q
Solana Beach, CA 92075-2061
Phone (858) 848-6639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT294361 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Physical Therapy & Sports Medicine Inc | Physical Therapist | Current | Accepting new patients |
| DPT Holdings, LLC | Physical Therapist | Current | Accepting new patients |
Locations
6070 Avenida Encinas
Ste 100
Carlsbad, CA 92011
Phone (760) 444-0102
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.
-
dba One Nine Sports Medicine and Physical Therapy, Inc.
- Physical Therapy Clinic/Center
- Solana Beach, CA
- NPI 1528515806
-
- Physical Therapy Clinic/Center
- Carlsbad, CA
- NPI 1285729509
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518739200000",
"number": "1760982672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 SCARLET PL",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920693280",
"telephone_number": "623-512-3152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29650 BRADLEY RD",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925866521",
"telephone_number": "951-672-0455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUTCHINSON",
"first_name": "TRAVIS",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-16",
"last_updated": "2018-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT294361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menifee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.