Active NPI
Travis Gawler, PT
- Physical Therapy Clinic/Center
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 6635
- Practice address
- 131 Commonwealth Dr Ste 240
Greenville, SC 29615-5194 - Phone
- (864) 516-1170
- NPI assigned
- Sep 27, 2021
- Last updated
- Sep 27, 2021
- 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 Therapy Clinic/Center | 261QP2000X | 6635 | SC | Primary |
Addresses
Primary practice location
131 Commonwealth Dr Ste 240
Greenville, SC 29615-5194
Mailing address
230 Roper Mountain Road Ext Apt 711
Greenville, SC 29615-4825
Phone (803) 767-1201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6635 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Medical Group Greenville Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Greenville Specialty Care LLC | Physical Therapy | Current | Accepting new patients |
| St Francis Physician Services Inc | Past | Accepting new patients |
Locations
131 Commonwealth Dr
Ste 240
Greenville, SC 29615
Phone (864) 297-0080
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
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.
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Physical Therapy
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1780355958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 ROPER MOUNTAIN ROAD EXT APT 711",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296154825",
"telephone_number": "803-767-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 COMMONWEALTH DR STE 240",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296155194",
"telephone_number": "864-516-1170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAWLER",
"first_name": "TRAVIS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "SC",
"license": "6635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.