TRAVIS PETTY (NPI# 1720558646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720558646 |
| Entity Type | Individual |
| Full Name | TRAVIS PETTY |
| Practice Address |
1800 Bluegrass Ave Louisville KY 40215-1130 |
| Practice Telephone | 5023612301 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A03896 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1800 BLUEGRASS AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40215-1130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982608543 | Lawrence G. Goldberg | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2005-06-10 |
| 1902376817 | Emily Kristen Mcwilliams | Physical Therapy Assistant | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1174093090 | Ethan Cole Adams | Physical Therapist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1902376825 | Jennifer Weiger | Occupational Therapy Assistant | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-12-04 |
| 1467928895 | Lydia Coots | Physical Therapist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-10-24 |
| 1366937260 | Hayley Russell | Nurse Practitioner | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-06-25 |
| 1508358359 | Ashley Newton | Nurse Practitioner | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2018-06-06 |
| 1316458987 | Lydia Coughlin | Speech-Language Pathologist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2017-10-23 |
| 1073062634 | Ashley Nicole Hill | Speech-Language Pathologist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2016-09-23 |
| 1861852394 | Hillaree Needy | Speech-Language Pathologist | 1800 Bluegrass Ave, Louisville, KY 40215-1130 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417473315 | Robin Jones | Behavioral Analyst | 800 W. Woodlawn Ave, Louisville, KY 40215 | 2017-08-22 |
| 1316332448 | Christopher Fenzel | Emergency Medicine | 1850 Bluegrass Avenue, Louisville, KY 40215 | 2015-04-06 |
| 1447661210 | Khac Phuong Vu | Dentist | 3448 Taylor Boulevard, Louisville, KY 40215 | 2014-05-15 |
| 1619251238 | Scott H Kaminsky | Marriage & Family Therapist | 3535 Taylor Blvd, Louisville, KY 40215 | 2011-09-30 |
| 1821313529 | Taylor Blvd Chiropractic | Chiropractor | 3254 Taylor Blvd, Louisville, KY 40215 | 2010-04-06 |
| 1396985131 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4419 Lasalle Ave, Louisville, KY 40215 | 2009-03-05 |
| 1841448735 | Jewish Hospital & St. Mary's Healthcare, Inc. | Psychiatric Residential Treatment Facility | 4418 Malcolm Ave., Louisville, KY 40215 | 2008-09-04 |
| 1235329400 | Thad R. Schulten Psc | Dentist | 4515 Churchman Ave., Louisville, KY 40215 | 2007-07-25 |
| 1801911680 | Timothy John Lutes | Dentist | 3205 Taylor Blvd, Louisville, KY 40215 | 2007-03-20 |
| 1063557346 | Louisville-jefferson County Metro Government | Public Health or Welfare | 4255 Hazelwood Avenue, Louisville, KY 40215 | 2007-02-21 |
| Find all providers in zip 40215 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) 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 |
|---|---|---|---|---|
| 1952922130 | Sagar Surendra Desai | Physical Therapy Assistant | 17045 E Main St, Louisville, MS 39339-2754 | 2020-04-29 |
| 1346752276 | Casey Valentine | Physical Therapy Assistant | 7288 Paris Ave, Louisville, OH 44641-9525 | 2017-11-01 |
| 1457891129 | Daniel Mcintyre | Physical Therapy Assistant | 1920 Herr Ln, Louisville, KY 40222-6565 | 2017-02-28 |
| 1598201733 | Linda Scott | Physical Therapy Assistant | 5915 Trappers Ridge Cir, Louisville, KY 40216-1468 | 2017-01-11 |
| 1477005650 | Ronald Harris Jr. | Physical Therapy Assistant | 9600 Bayberry Green Ln, Louisville, KY 40291-6722 | 2016-11-03 |
| 1033664693 | Melissa Dawn Jenkins | Physical Therapy Assistant | 12601 Saxony Park Cir, 103, Louisville, KY 40299-2784 | 2016-08-23 |
| 1841685666 | Jim Hisle | Physical Therapy Assistant | 9127 Galene Dr Ste 4, Louisville, KY 40299-1586 | 2015-03-30 |
| 1336537125 | Connie Singleton | Physical Therapy Assistant | 8111 Jasmine Ln, Louisville, KY 40228-2208 | 2014-12-31 |
| 1417369901 | Linda Jones | Physical Therapy Assistant | 4506 Dogwood Forest Pl, Louisville, KY 40245-1996 | 2014-06-02 |
| 1144632837 | Tara Jackson | Physical Therapy Assistant | 303 North Hurstbourne Parkway, Suite 200, Louisville, KY 40222 | 2014-05-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40215 |
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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.