TRAVIS WADE ROBERTSON (NPI# 1174042766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174042766 |
| Entity Type | Individual |
| Full Name | TRAVIS WADE ROBERTSON |
| Credential | DPT |
| Practice Address |
10909-11 S Western Ave Beverly IL 60643 |
| Practice Telephone | 7737797970 |
| Mailing Telephone | 7737797970 |
| Mailing Fax Number | 7737797969 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2017-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070023168 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386253623 | Travis Scott Robertson | Pharmacist | 463855 State Road 200, Yulee, FL 32097-3639 | 2020-07-22 |
| 1538264825 | Travis James Robertson | Chiropractor | 3221 16th Ave Sw, Cedar Rapids, IA 52404-1434 | 2006-09-13 |
| Street Address |
10909-11 S WESTERN AVE |
| City | BEVERLY |
| State | IL |
| Zip Code | 60643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1255853172 | Beverly Fowler | Specialist/Technologist | 11624 S. May Street, Chicago, IL 60643 | 2017-07-12 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548050 | Elizabeth Karen Turner | Physical Therapist | 800 Cummings Ctr Ste 147u, Beverly, MA 01915-6172 | 2020-11-07 |
| 1598324626 | Nathaniel Robert Heim | Physical Therapist | 100 Cummings Ctr Ste 121q, Beverly, MA 01915-6129 | 2019-06-12 |
| 1871990051 | Rebecca Marie Pudvah | Physical Therapist | 13 Fern St, Beverly, MA 01915-1570 | 2014-12-03 |
| 1730588484 | Keith Cooper | Physical Therapist | 900 Cummings Ctr Ste 130s, Beverly, MA 01915-6183 | 2014-08-19 |
| 1730335001 | Sean Patrick Allen | Physical Therapist | 9 Dane St Ste D, Beverly, MA 01915-4514 | 2008-08-18 |
| 1083810691 | Moira Lynnette Spies | Physical Therapist | 4 Lakeview Ave, Beverly, MA 01915-1124 | 2007-06-21 |
| 1497880520 | Patricia Carvajal | Physical Therapist | 31 Appleton Ave, Beverly, MA 01915-3534 | 2007-02-22 |
| 1518034768 | James R Corrente | Physical Therapist | 100 Cummings Ctr, Ste 121q, C/o Orthopaedics Plus, Beverly, MA 01915-6129 | 2006-11-30 |
| 1780600734 | Bret Ferrell | Physical Therapist | 254 Essex St, Beverly, MA 01915-1944 | 2006-07-14 |
| 1255311411 | Amy Laura Kelleher Nevins | Physical Therapist | 26 Middlebury Ln, Beverly, MA 01915-1300 | 2006-01-21 |
| Find all providers in BEVERLY | ||||
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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.