Travis A Lore, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305205436 Issued in VA

Practice address

1723 Financial Loop
Woodbridge, VA 22192-2460

Phone

(571) 572-3061

Fax

(571) 572-3410

NPI assigned

Jan 12, 2006

Last updated

Mar 17, 2018By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stafford Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Stafford, VA
  • NPI 1114239498
  NPD (past)
• Carolina Decompression and Physical Therapy LLC

  dba Carolina Spine & Disc Center

  • Physical Therapy Clinic/Center
  • Clayton, NC
  • NPI 1326705450

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942289400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 FINANCIAL LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "571-572-3061",
            "fax_number": "571-572-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 FINANCIAL LOOP",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922460",
            "telephone_number": "571-572-3061",
            "fax_number": "571-572-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11618 US Hwy 70 W",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202275",
            "country_code": "US",
            "telephone_number": "919-373-2000",
            "fax_number": "919-373-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORE",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "10174",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305205436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D Long Jr., MD
• Natalie Paige Long, O.T.
• Susanne K Long, PSYCHOLOGIST
• Flor I Lopez, FNP
• Christina Joy Loran, BCBA
• Candice Loredo
• Richard Lawrence Lorenz, MD
• Alexis Lacaille Lorick, OT
• Paymaun M Lotfi, MD
• Ek Seng Lou, MD

• Physical Therapist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.