John Todd Travis, A.T.C., M.S., P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

987 Issued in WV

Practice address

2382 W Main St
Salem, WV 26426-7521

Phone

(304) 782-1052

Fax

(304) 782-1053

NPI assigned

Sep 14, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Travis Physical Therapy and Sports Medicine IncGroup PAC ID 8527188549, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Travis Physical Therapy & Sports Medicine Inc

  • Physical Medicine & Rehabilitation Physician
  • Salem, WV
  • NPI 1659365724
  Medicare reassignment Care Compare group NPD Authorized official
• Travis Physical Therapy & Sports Medicine Inc

  • Durable Medical Equipment & Medical Supplies
  • Salem, WV
  • NPI 1760557565
  Authorized official Same address or phone

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1972598191",
    "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",
            "fax_number": "304-782-1053"
        },
        {
            "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",
            "fax_number": "304-782-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JOHN",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "A.T.C.,  M.S.,  P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WV",
            "license": "987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156442000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "650010940",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Anne Todd
• Kayla Todd
• Jacqueline Louise Tokarcik
• Travis Physical Therapy & Sports Medicine Inc
• Travis Physical Therapy & Sports Medicine Inc
• Victoria Lynne Travis, PT, DPT
• Jennifer Turner, APRN
• Mercy Underwood
• Tina Vanhorn
• Linda Varkonda

• Physical Medicine & Rehabilitation Physician in Salem, WV
• Providers in Salem, WV by specialty
• Physical Medicine & Rehabilitation Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; 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.

Verify at the official NPI Registry.