MRS. AMANDA ROSE TRAVIS (NPI# 1982106670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982106670 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA ROSE TRAVIS |
| Credential | MSPT |
| Practice Address |
6105 Wilson Ave Sw Wyoming MI 49418-9714 |
| Practice Telephone | 6164865055 |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501012166 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770724155 | Amanda Rose Travis | Social Worker | 2206 E Central Texas Expy, Killeen, TX 76543-5315 | 2009-03-16 |
| 1942587670 | Amanda Jill Travis | Nurse Practitioner | 1920 Kirby Pkwy, Suite 100, Germantown, TN 38138-3696 | 2011-11-09 |
| 1164679072 | Amanda Michelle Travis | Physical Therapy Assistant | 10456 Us Highway 62, Calvert City, KY 42029 | 2008-08-21 |
| Street Address |
6105 WILSON AVE SW |
| City | WYOMING |
| State | MI |
| Zip Code | 49418-9714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052265 | David R. Heyboer | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418 | 2005-06-09 |
| 1679076533 | Melissa L Mccormick | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-16 |
| 1568964377 | Kathleen Sue Knopf Simpson | Physical Therapist | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2018-03-07 |
| 1730524398 | West Michigan Heart | Internal Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-05-08 |
| 1528300738 | Spectrum Health Hospitals | Emergency Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-03-26 |
| 1629310826 | Spectrum Health Primary Care Partners | Emergency Medicine | 6105 Wilson Ave Sw, Wyoming, MI 49418-9714 | 2013-03-26 |
| 1205174604 | Matthew Brower | Physician Assistant | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2013-01-21 |
| 1528370541 | Spectrum Health Primary Care Partners | Internal Medicine | 6105 Wilson Ave Sw, Suite 202, Wyoming, MI 49418-9714 | 2010-07-07 |
| 1891995536 | Laura M Franey | Internal Medicine | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2007-07-20 |
| 1306968763 | Ryan D Madder | Internal Medicine | 6105 Wilson Ave Sw, Suite 101, Wyoming, MI 49418-9714 | 2007-04-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144799669 | Holly Cieslinski | Occupational Therapist | 3550 Fairlines Ave, Grandville, MI 49418 | 2018-11-14 |
| 1639664857 | Athletico Ltd | Physical Therapist | 3819 Rivertown Pkwy Sw Ste 100, Grandville, MI 49418 | 2018-06-29 |
| 1437651916 | Great Lakes Wellness Counseling LLC | Counselor | 2900 Wilson Ave Suite 110, Grandville, MI 49418 | 2018-03-01 |
| 1780111765 | Jenna Sargent | Nurse Practitioner | 2845 44th St Sw, Ste 200, Grandville, MI 49418 | 2017-05-22 |
| 1881132827 | Laura Elizabeth Ramaker | Specialist/Technologist | 2787 Pine Dunes Ct Sw, Wyoming, MI 49418 | 2017-02-10 |
| 1689026130 | Charles Unseld | Hearing Instrument Specialist | O-38 44th St Sw, Grandville, MI 49418 | 2016-07-08 |
| 1972989655 | Laci Dawn Johncock | Physical Therapy Assistant | 2786 56th Street, Wyoming, MI 49418 | 2015-08-05 |
| 1891178570 | Joshua Kolman | Pharmacist | 3434 Century Center Dr Sw, Grandville, MI 49418 | 2015-06-30 |
| 1710368782 | Tracie Medrano- Smith | Family Medicine | 4174 56th St Sw, Wyoming, MI 49418 | 2015-06-15 |
| 1124410808 | Kim Michelle Childress | Counselor | 4565 Wilson Ave Sw Ste 3a, Grandville, MI 49418 | 2015-03-04 |
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| 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 |
|---|---|---|---|---|
| 1588203947 | Benjamin R Eggleston | Physical Therapist | 1736 Gezon Pkwy Sw Ste 100, Wyoming, MI 49519-9525 | 2020-01-03 |
| 1306491741 | Rene Thomas | Physical Therapist | 118 Springfield Pike, Wyoming, OH 45215-4230 | 2019-08-02 |
| 1215430699 | Jennifer Anne-gluszewski Patterson | Physical Therapist | 6105 Wilson Ave, Wyoming, MI 49426 | 2018-03-13 |
| 1639625601 | Nicole L Elders | Physical Therapist | 5570 Wilson Ave Sw Ste A, Wyoming, MI 49418-8867 | 2016-08-30 |
| 1598143117 | Kristina Muscat | Physical Therapist | 5653 Barcroft Dr Sw, Wyoming, MI 49418-9312 | 2015-05-14 |
| 1285022376 | Hollie Dimare | Physical Therapist | 170 2nd St, Wyoming, PA 18644-2115 | 2014-12-26 |
| 1972904761 | Carmen Vandyke | Physical Therapist | 3040 Waterchase Way Sw, Apt 302, Wyoming, MI 49519-5990 | 2014-09-11 |
| 1477990786 | Barbara Campbell | Physical Therapist | 551 36th St Se, Wyoming, MI 49548-2355 | 2013-05-28 |
| 1972850279 | Angela Demetria Onyekanne | Physical Therapist | 123 Springfield Pike, Wyoming, OH 45215-4263 | 2012-08-07 |
| 1295095214 | Prakash Pasupathy | Physical Therapist | 5825 Powderhorn Ct Sw, Wyoming, MI 49418-9340 | 2012-05-23 |
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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.