TRAVIS L SUMMERVILLE (NPI# 1629226139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629226139 |
| Entity Type | Individual |
| Full Name | TRAVIS L SUMMERVILLE |
| Credential | M.P.T. |
| Practice Address |
1298 Walloon Way Lake Orion MI 48360 |
| Mailing Address |
900 Auburn Ave Pontiac MI 48342-3300 |
| Practice Telephone | 2488910388 |
| Mailing Telephone | 2483328600 |
| Mailing Fax Number | 2483359490 |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2018-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5501008389 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1298 WALLOON WAY |
| City | LAKE ORION |
| State | MI |
| Zip Code | 48360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124409446 | Kyle Vires | Licensed Practical Nurse | 2271 Geyer Ct, Lake Orion, MI 48360 | 2015-06-11 |
| 1871931592 | Ihsan Asbahi | Anesthesiology | 1234 S Lapeer Rd, Lake Orion, MI 48360 | 2013-06-05 |
| 1205119567 | Michigan Bone and Joint Center | Orthopaedic Surgery | 1251 S. Lapeer Rd., Suite #102, Lake Orion, MI 48360 | 2011-09-23 |
| 1982878609 | Audrey Vizzaccaro | Physician Assistant | 1261 South Lapeer Rd, Ste 201, Lake Orion, MI 48360 | 2008-04-14 |
| 1881872265 | H & L Drugs Inc | Durable Medical Equipment & Medical Supplies | 1455 S Lapeer, Suite 101, Lake Orion, MI 48360 | 2008-02-07 |
| 1598952129 | Oakland Psychological Clinic, P.C. | Counselor | 1455 S Lapeer Rd Ste 175n, Lake Orion, MI 48360 | 2007-09-27 |
| 1700098704 | Laura Elizabeth Salome | Audiologist | 1176 S. Lapeer Rd, Lake Orion, MI 48360 | 2007-05-04 |
| 1780743658 | Frank James Iulianelli | Chiropractor | 2523 South Lapeer Road, Lake Orion, MI 48360 | 2006-12-07 |
| 1942377122 | James C Komendera Dds PC | Dentist | 1135 S Lapeer Rd, Lake Orion, MI 48360 | 2006-11-30 |
| 1508958737 | Vincenzo Guglielmetti | Family Medicine | 1375 S. Lapeer Rd., Ste. 106, Lake Orion, MI 48360 | 2006-09-28 |
| Find all providers in zip 48360 | ||||
| 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 |
|---|---|---|---|---|
| 1942817853 | Lake Orion Center of Pelvic Rehabilitation | Physical Therapist | 4405 S Baldwin Rd Ste E, Lake Orion, MI 48359-2164 | 2020-09-24 |
| 1790280154 | Kerri Borton | Physical Therapist | 1257 Parkland Rd, Lake Orion, MI 48360-2805 | 2018-03-28 |
| 1649791237 | Kelsie Marie Davis | Physical Therapist | 4950 S Baldwin Rd, Lake Orion, MI 48359-2116 | 2017-07-05 |
| 1386023695 | Christina Henriquez | Physical Therapist | 673 Leyland Ct, Lake Orion, MI 48362-2168 | 2015-05-20 |
| 1962809624 | Jennifer Marie Macdonald | Physical Therapist | 1261 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1419 | 2014-11-24 |
| 1376716639 | Kristie Mae Wilson | Physical Therapist | 4405 S Baldwin Rd, Ste E, Lake Orion, MI 48359-2164 | 2008-04-08 |
| 1669488714 | Annmarie Raguse | Physical Therapist | 425 N Park Blvd, Suite 100, Lake Orion, MI 48362-3189 | 2006-07-31 |
| 1932135050 | Valerie Ludwig | Physical Therapist | 1261 S Lapeer Rd, Suite 102, Lake Orion, MI 48360-1419 | 2006-06-23 |
| 1235126293 | Brett Debo | Physical Therapist | 1210 S Lapeer Rd, Lake Orion, MI 48360-1433 | 2005-10-04 |
| 1730740713 | Amanda Glazewski | Physical Therapist | 1261 S Lapeer Rd Ste 102, Lake Orion, MI 48360-1419 | 2019-06-21 |
| Find all providers in LAKE ORION | ||||
| City | LAKE ORION |
| Zip Code | 48360 |
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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.