Active NPI
Victoria Lynne Travis, PT, DPT
- Physical Therapist
- Salem, WV
National Provider Identifier
1952916470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004342
- Practice address
- 2382 W Main St
Salem, WV 26426-7521 - Phone
- (304) 782-1052
- NPI assigned
- Sep 11, 2020
- Last updated
- Sep 11, 2020
- Sex
- Female
- 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 | 004342 | WV | Primary |
Addresses
Primary practice location
2382 W Main St
Salem, WV 26426-7521
Mailing address
2382 W Main St
Salem, WV 26426-7521
Phone (304) 782-1052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- West Virginia University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2382 W Main St
Salem, WV 26426-7521
Phone (304) 782-1052
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004342 | WV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Travis Physical Therapy & Sports Medicine Inc | Current | Accepting new patients | |
| Travis Physical Therapy & Sports Medicine Inc | Current | Accepting new patients |
Locations
2382 W Main St
Salem, WV 26426
Phone (304) 782-1052
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Salem, WV
- NPI 1659365724
-
- Durable Medical Equipment & Medical Supplies
- Salem, WV
- NPI 1760557565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599782400000",
"number": "1952916470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2382 W MAIN ST",
"city": "SALEM",
"state": "WV",
"postal_code": "264267521",
"telephone_number": "304-782-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2382 W MAIN ST",
"city": "SALEM",
"state": "WV",
"postal_code": "264267521",
"telephone_number": "304-782-1052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "VICTORIA",
"middle_name": "LYNNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-11",
"last_updated": "2020-09-11",
"certification_date": "2020-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WV",
"license": "004342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.