TRAVIS A MOTLEY (NPI# 1003850991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003850991 |
Entity Type | Individual |
Full Name | TRAVIS A MOTLEY |
Credential | DPM |
Practice Address |
800 5th Ave Ste 400 Fort Worth TX 76104-7305 |
Mailing Address |
Po Box 732973 Dallas TX 75373-2973 |
Practice Telephone | 8177029100 |
Practice Fax Number | 8178829242 |
Mailing Telephone | 8177028450 |
Enumeration Date | 2006-06-15 |
Last Update Date | 2018-10-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | 1559 | TX | Podiatric Medicine & Surgery Service Providers |
N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
1559 | TX | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 159461601 | 05 | |
TX | BCBS | 8K7417 | 01 |
TX | RAILROAD MEDICARE | P00258969 | 01 |
Street Address |
800 5TH AVE STE 400 |
City | FORT WORTH |
State | TX |
Zip Code | 76104-7305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588608459 | Alan G Garrett | Podiatrist | 800 5th Ave Ste 400, Fort Worth, TX 76104 | 2006-06-15 |
1982648440 | Bobby J Wroten | Orthopaedic Surgery | 800 5th Ave Ste 400, Fort Worth, TX 76104-7305 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
Find all providers in zip 76104 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598031841 | Candace Frances Been | Podiatrist | Federal Bureau of Prisons Federal Medical Center Fort, 3150 Horton Road, Fort Worth, TX 76119 | 2012-03-30 |
1124263512 | Kevin D. Rhodes, Dpm | Podiatrist | 750 North Fwy, Fort Worth, TX 76102-1722 | 2008-12-13 |
1518112499 | Healthdrive Podiatry Group, Pa | Podiatrist | 2413 East Loop 820 North, Fort Worth, TX 76118-8210 | 2008-11-19 |
1205980232 | South Side Foot Clinic Inc. | Podiatrist | 4759 South Fwy, Suite B, Fort Worth, TX 76115-3655 | 2007-01-23 |
1629135157 | Kyle E Hoogendoorn | Podiatrist | 6048 Lake Worth Blvd, Fort Worth, TX 76135-3706 | 2007-01-03 |
1558440750 | Raiford Adrian Rattan | Podiatrist | 2716 Cockrell Ave, Fort Worth, TX 76109-1119 | 2006-11-06 |
1538253083 | Sherry Lynn Bowers | Podiatrist | 1305 W Magnolia Ave, Suite B, Fort Worth, TX 76104-4351 | 2006-10-02 |
1679670970 | William Douglas Boyd | Podiatrist | 3221 Hulen, Suite A, Fort Worth, TX 76107 | 2006-09-20 |
1053426601 | Kenneth Lynn James | Podiatrist | 1712 Pennsylvania Ave, Fort Worth, TX 76104 | 2006-08-21 |
1720098221 | Thu Cao Nguyen | Podiatrist | 1617 N Beach St, Fort Worth, TX 76111-6617 | 2006-08-08 |
Find all providers in FORT WORTH |
City | FORT WORTH |
Zip Code | 76104 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.