Individual provider Active NPI

Travis Alan Royer

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1831928902
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3406 Laramie Dr
Bozeman, MT 59718-2005
Phone
(406) 587-0122
Fax
(844) 656-2480
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 MT Primary

Addresses

Primary practice location

3406 Laramie Dr
Bozeman, MT 59718-2005

Mailing address

133 Donna Ave
Bozeman, MT 59718-3665
Phone (406) 640-2916

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240813000472 MT Practitioner - Physical Therapist in Private Practice 4183162951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

3400 Laramie Dr
Bozeman, MT 59718-2005
Phone (406) 587-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Aug 5, 2024 Accepting new patients

Locations

101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

3406 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

1610 Ellis St
Ste 2A
Bozeman, MT 59715

Interoperability endpoints

  • Direct secure messaging: travis.royer.1@12906.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1831928902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 DONNA AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597183665",
            "telephone_number": "406-640-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3406 LARAMIE DR",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182005",
            "telephone_number": "406-587-0122",
            "fax_number": "844-656-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "TRAVIS",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.