TRAVIS BARTELINK (NPI# 1548409147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548409147 |
| Entity Type | Individual |
| Full Name | TRAVIS BARTELINK |
| Credential | DPT |
| Practice Address |
4028 Dale Rd Suite 101 Modesto CA 95356-9561 |
| Practice Telephone | 2093129739 |
| Practice Fax Number | 2093129747 |
| Mailing Telephone | 2093129739 |
| Mailing Fax Number | 2093129747 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2014-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35400 | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CALIFORNIA LICENSE | PT35400 | 01 |
| Street Address |
4028 DALE RD SUITE 101 |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366480071 | Edward F. Nuccio | Optometrist | 4028 Dale Rd, Suite 102, Modesto, CA 95356-9505 | 2006-06-03 |
| 1932647005 | Tyler Finfrock | Physical Therapist | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2017-02-08 |
| 1619398062 | Orthopedic Physical Therapy Institute, Inc. | Clinic/Center | 4028 Dale Rd, Suite 101, Modesto, CA 95356-9561 | 2014-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881045763 | Maria Ortiz | Specialist | 1801 Tully Rd Ste A2, Modesto, CA 95350-2937 | 2016-06-22 |
| 1184081614 | James Mccray | Specialist | 1620 N Carpenter Rd Ste D59, Modesto, CA 95351-1148 | 2016-01-28 |
| 1922380518 | Thao Truong | Specialist | 1321 I St Ste #3, Modesto, CA 95354 | 2011-09-09 |
| 1497088173 | Heather Lee King | Specialist | 325 Downey Ave, Modesto, CA 95354-1203 | 2009-09-11 |
| 1073783353 | David Bautista | Specialist | 500 9th St, Modesto, CA 95354-3428 | 2008-03-03 |
| 1770622375 | Kathleen Marie Dubose | Specialist | 1901 Standiford Ave, Suite A, Modesto, CA 95350-0149 | 2007-02-06 |
| 1932266517 | Callie C Graham | Specialist | 1601 Yosemite Blvd, Suite A, Modesto, CA 95354-2800 | 2007-01-02 |
| 1295896041 | Theodore Edmund Staahl | Specialist | 1329 Spanos Ct Ste A-1, Modesto, CA 95355-2806 | 2006-12-13 |
| 1831272657 | John Leicham | Specialist | 200 Greenwich Ln, Modesto, CA 95350-1461 | 2006-10-23 |
| 1144310657 | Valley Hand Center | Specialist | 200 W Roseburg Ave, Ste B-1, Modesto, CA 95350-5200 | 2006-10-13 |
| Find all providers in MODESTO | ||||
Please comment or provide details below to improve the information on TRAVIS BARTELINK.
| 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.