Travis Allen Burdick, DPT
Individual provider Active NPI Physical Therapist · Gautier, MS
NPI 1962025700 · NPPES record last updated May 13, 2025
Key facts
- NPI
- 1962025700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-6874 (MS)
- Practice address
- 3880 Gautier Vancleave Rd Ste 4
Gautier, MS 39553-5105 - Phone
- (251) 281-8346
- NPI assigned
- May 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-6874 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dynamic Rehabilitation Services LLC | Physical Therapist | Current |
Accepting new patients |
| Strive Performance Physiotherapy LLC | Physical Therapist | Past |
Accepting new patients |
Locations
4016 Cassimer Ave
Diberville, MS 39540
Phone (228) 280-8120
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-6874 | MS | Yes |
Addresses
Primary practice location
3880 Gautier Vancleave Rd Ste 4
Gautier, MS 39553-5105
Mailing address
3880 Gautier Vancleave Rd Ste 4
Gautier, MS 39553-5105
Phone (251) 281-8346
Other providers in Gautier, MS
- Clifford Wayne Brewer
- Brandon Brown
- Lakendra A Brown
- Zoe Marine Brown
- Lydia J Burden
- Benjamin Edwin Burgess
- Rachel Nicole Burnett
- Burnham-McKinney Pharmacy No 3 LLC
- Judy A Busby
- Leah Ann Buyatt
All providers in Gautier, MS · Physical Therapist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.