Individual provider Active NPI

Travis Colby Martin, DPT

  • Physical Therapist
  • Arroyo Grande, CA
National Provider Identifier
1780047050
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT43329 Issued in CA
Practice address
117 S Halcyon Rd
Arroyo Grande, CA 93420-3115
Phone
(805) 481-5656
Fax
(805) 481-5749
NPI assigned
Apr 3, 2016
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 PT43329 CA Primary

Addresses

Primary practice location

117 S Halcyon Rd
Arroyo Grande, CA 93420-3115

Mailing address

1111 S Broadway Ste 203
Santa Maria, CA 93454-6682
Phone (805) 922-1711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160519000490 CA Practitioner - Physical Therapist in Private Practice 4587953245 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43329CAMDMarriage & Family Therapist
PT43329CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agpt, Inc Physical Therapist CurrentSince Mar 5, 2025 Accepting new patients
Coastal Hand and Occupational Therapy PastSince Jan 22, 2023 Accepting new patients
Coastal Hand & Occupational Therapy Inc Physical Therapist PastSince Jan 22, 2023 Accepting new patients

Locations

117 S Halcyon Rd
Arroyo Grande, CA 93420
Phone (805) 481-5656

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": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1780047050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 S BROADWAY STE 203",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546682",
            "telephone_number": "805-922-1711",
            "fax_number": "805-361-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S HALCYON RD",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203115",
            "telephone_number": "805-481-5656",
            "fax_number": "805-481-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRAVIS",
        "middle_name": "COLBY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-03",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT43329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.