Travis Dills, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A03477 Issued in KY

Practice address

460 S College St
Woodburn, KY 42170-9738

Phone

(270) 529-2853

NPI assigned

Sep 11, 2016

Last updated

Sep 11, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1861949588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 KENILWOOD WAY APT 15",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044873",
            "telephone_number": "606-271-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 S COLLEGE ST",
            "city": "WOODBURN",
            "state": "KY",
            "postal_code": "421709738",
            "telephone_number": "270-529-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLS",
        "first_name": "TRAVIS",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A03477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Bevil, LPCC
• Vicky Lynn Burkhard, COTA/L
• Betty Jean Cummings, MS-CCC SLP
• Jennifer Elaine-Sweeney Hammons, COTA/L
• HBR Woodburn LLC (Hopkins Center)
• Hopkins Health Center LLC (Hopkins Nursing and Rehabilitation Center)
• Carla Ann Mercer, PTA
• Karen Elizabeth Rogers, P.T.A.

• Physical Therapy Assistant in Woodburn, KY
• Providers in Woodburn, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.