Individual provider Active NPI

Travis Lee Calton, DPT

  • Physical Therapist
  • Mustang, OK
National Provider Identifier
1972749653
Registry record updated Jan 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4101 Issued in OK
Practice address
153 E SH 152
Mustang, OK 73064-4406
Phone
(405) 376-3535
Fax
(405) 376-3583
NPI assigned
Dec 30, 2008
Last updated
Jan 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 4101 OK Primary

Addresses

Primary practice location

153 E SH 152
Mustang, OK 73064-4406

Mailing address

700 NW 7TH St
Oklahoma City, OK 73102-1212
Phone (405) 609-3658

Other identifiers 1

IdentifierTypeStateIssuer
200228220 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090625000231 OK Practitioner - Physical Therapist in Private Practice 8022169457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Health Oklahoma Outpatient Clinics LLCGroup PAC ID 3072562412, 44 clinicians

Practice addresses (Care Compare)

1225 SW 89TH St
Oklahoma City, OK 73139-9101
Phone (405) 616-0113

153 E State Hwy 152
Nvoc 10
Mustang, OK 73064-4406
Phone (405) 376-3535

1714 S Kelly Ave
Nvoc 8
Edmond, OK 73013-3624
Phone (405) 285-8845

1735 N Green Ave
Voc 12
Purcell, OK 73080-1731
Phone (405) 527-3524

7005 SE 15TH St
200 Nvoc 5
Midwest City, OK 73110-5126
Phone (405) 610-2488

8355 US Hwy 277
Suite 7
Elgin, OK 73538-2207
Phone (580) 492-1112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4101OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Apr 22, 2009 Accepting new patients
Valir Outpatient Clinics LLC Physical Therapist PastSince Jun 18, 2023 Accepting new patients
Valir Outpatient Clinic #10 LLC Physical Therapist Past Accepting new patients

Locations

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

153 E State Highway 152
Mustang, OK 73064
Phone (405) 376-3535

700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600

700 NW 7th St
#118
Oklahoma City, OK 73102

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547596800000",
    "number": "1972749653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 NW 7TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021212",
            "telephone_number": "405-609-3658",
            "fax_number": "800-506-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 E SH 152",
            "city": "MUSTANG",
            "state": "OK",
            "postal_code": "730644406",
            "telephone_number": "405-376-3535",
            "fax_number": "405-376-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALTON",
        "first_name": "TRAVIS",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-30",
        "last_updated": "2019-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200228220 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mustang, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.