Active NPI
Travan Gentles
- Physical Therapist
- Livonia, MI
National Provider Identifier
1942130083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- R594079
- Practice address
- 28875 Plymouth Rd
Livonia, MI 48150-2385 - Phone
- (844) 369-9955
- NPI assigned
- May 20, 2026
- Last updated
- Aug 18, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | R594079 | MI | Primary |
Addresses
Primary practice location
28875 Plymouth Rd
Livonia, MI 48150-2385
Mailing address
28875 Plymouth Rd
Livonia, MI 48150-2385
Phone (844) 369-9955
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3075 W Clark Rd
Suite 200
Ypsilanti, MI 48197-1103
3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R594079 | MI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1942130083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28875 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502385",
"telephone_number": "844-369-9955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28875 PLYMOUTH RD",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481502385",
"telephone_number": "844-369-9955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTLES",
"first_name": "TRAVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-20",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "R594079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.