Individual provider Active NPI

Travis B Eason, DPT

  • Physical Therapist
  • Farmington Hills, MI
National Provider Identifier
1972994564
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017096 Issued in MI
Practice address
32255 Northwestern Hwy Ste 155a
Farmington Hills, MI 48334-1566
Phone
(248) 479-6330
Fax
(248) 479-6331
NPI assigned
Feb 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 5501017096 MI Primary

Addresses

Primary practice location

32255 Northwestern Hwy Ste 155a
Farmington Hills, MI 48334-1566

Mailing address

33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 350-2644

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150407000606 MI Practitioner - Physical Therapist in Private Practice 5193043974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Millennium Rehabilitation and Physical Therapy, PCGroup PAC ID 1951659499, 3 clinicians

Practice addresses (Care Compare)

32255 Northwestern Hwy
Suite 155a
Farmington Hills, MI 48334-1566
Phone (248) 479-6330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Rehabilitation and Physical Therapy, PC Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients
DPT Physical Therapy LLC Physical Therapist CurrentSince Apr 8, 2021 Accepting new patients
Michigan Healthcare Professionals PC PastSince Dec 13, 2021 Accepting new patients

Locations

27803 Woodward Ave
Berkley, MI 48072
Phone (248) 850-7008

33900 Harper Ave
Ste 104
Clinton Twp, MI 48035
Phone (586) 416-9100

32255 Northwestern Hwy
Ste 155
Farmington Hills, MI 48334
Phone (248) 419-3388

32255 Northwestern Hwy
Ste 155A
Farmington Hills, MI 48334
Phone (248) 479-6330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1424217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1972994564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644",
            "fax_number": "586-541-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32255 NORTHWESTERN HWY STE 155A",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341566",
            "telephone_number": "248-479-6330",
            "fax_number": "248-479-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASON",
        "first_name": "TRAVIS",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.