Travis Swails, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

LAT-4961 Issued in NC

Practice address

9201 University City Blvd
Charlotte, NC 28223-0001

Phone

(704) 687-1630

NPI assigned

Sep 27, 2021

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

State licenses

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": "1861163081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CANDLER LN APT 1216",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282172489",
            "telephone_number": "850-603-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 UNIVERSITY CITY BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282230001",
            "telephone_number": "704-687-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWAILS",
        "first_name": "TRAVIS",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-4961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vitaliy Svarishchuk, NP
• Marina Svecharnik, MD
• Thor Svendsen, MD
• Amy Lorraine Svenson, MD
• Samuel J Swad, M.D.
• Iveta S Swaim, M.D.
• Amber Crystal Swain, LMBT
• Tiky Kytasha Swain, DDS
• Glory Mary Joy Soriano Swakla, OTR
• Adeline Swami, FNP

• Athletic Trainer in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Athletic Trainer in North Carolina

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.