Individual provider Active NPI

Travis McClure

  • Speech-Language Pathologist
  • Saginaw, MI
National Provider Identifier
1851932370
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005175 Issued in MI
Practice address
6161 State St
Saginaw, MI 48603
Phone
(989) 790-3781
NPI assigned
Oct 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101005175 MI Primary

Addresses

Primary practice location

6161 State St
Saginaw, MI 48603

Mailing address

6161 State St
Saginaw, MI 48603-3426

Other practice location 1

6673 State St
Saginaw, MI 48603-8021
Phone (989) 790-3781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7101005175MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Paramount Rehabilitation Services, PC Speech-Language Pathologist CurrentSince May 16, 2022 Accepting new patients
Paramount Rehabilitation Services, PC Speech-Language Pathologist PastSince Oct 13, 2019 Accepting new patients

Locations

6161 State St
Saginaw, MI 48603
Phone (989) 790-3781

Organizations & group practices 2

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": "1570320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1851932370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486033426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 STATE ST",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48603",
            "telephone_number": "989-790-3781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6673 State St",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486038021",
            "country_code": "US",
            "telephone_number": "989-790-3781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-06",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.