Individual provider Active NPI

Travis Rhea, DPT

  • Physical Therapist
  • Decatur, GA
National Provider Identifier
1780214965
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014439 Issued in GA
Practice address
141 Sams St Ste a
Decatur, GA 30030-4101
Phone
(404) 296-8511
Fax
(404) 296-8514
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 PT014439 GA Primary

Addresses

Primary practice location

141 Sams St Ste a
Decatur, GA 30030-4101

Mailing address

141 Sams St Ste a
Decatur, GA 30030-4101
Phone (404) 296-8511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200312001968 GA Practitioner - Physical Therapist in Private Practice 3870921448 Reassigns benefits to 1 organization
I20240612003868 NC Practitioner - Physical Therapist in Private Practice 3870921448 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Duke University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4904 Waters Edge Dr
Suite 284
Raleigh, NC 27606-8162
Phone (919) 724-3132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Targeted Motion, Inc. Physical Therapist CurrentSince Feb 24, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Decatur Hand and Physical Therapy Specialists Limited Partnership Physical Therapist CurrentSince Jan 20, 2020 Accepting new patients

Locations

141 Sams St
Ste A
Decatur, GA 30030
Phone (404) 296-8511

4904 Waters Edge Dr
Ste 284
Raleigh, NC 27606
Phone (919) 424-7366

2147 Davie Ave
Statesville, NC 28625
Phone (704) 878-0123

1200 Porters Neck Rd
Wilmington, NC 28411
Phone (866) 806-6213

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1780214965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SAMS ST STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304101",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SAMS ST STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304101",
            "telephone_number": "404-296-8511",
            "fax_number": "404-296-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHEA",
        "first_name": "TRAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.