Travis Daniel Whitefield

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

1412 Sidney Baker St
Kerrville, TX 78028-2725

Phone

(830) 315-8420

NPI assigned

Apr 28, 2021

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1851974844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SIDNEY BAKER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282725",
            "telephone_number": "830-315-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SIDNEY BAKER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282725",
            "telephone_number": "830-315-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEFIELD",
        "first_name": "TRAVIS",
        "middle_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Elizabeth Wendorf, M.S., CCC-SLP
• West Wharton County Hospital District (Avir at Kerrville)
• Western Psychiatric Associates
• Kenneth Knox Wheatley Jr., MD
• Renee White, RBT
• Whitehead Eye Care PLLC
• Phillip Andrew Whitehead, O.D.
• Charles Allen Wickware, D.C.
• Jarrod Stirling Wiggins, M.D.
• Linda Susan Wilbourn, LPC

• Physical Therapy Assistant in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.