DR. RHETT TRAVIS (NPI# 1659583466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659583466 |
| Entity Type | Individual |
| Full Name | DR. RHETT TRAVIS |
| Credential | D.C. |
| Practice Address |
4633 Brambleton Ave Roanoke VA 24018-3410 |
| Mailing Address |
4633 Brambleton Avenue Roanoke VA 24018-3410 |
| Practice Telephone | 5404007733 |
| Practice Fax Number | 5409046009 |
| Mailing Telephone | 5404007733 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 0104556546 | VA | Chiropractic Providers |
| Street Address |
4633 BRAMBLETON AVE |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-3410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801863782 | Donald E. Mankie | Dietitian, Registered | 4633 Brambleton Ave, Suite 101, Roanoke, VA 24018-3410 | 2006-03-01 |
| 1063838241 | Amy Bumgarner | Physical Therapist | 4633 Brambleton Ave, #202, Roanoke, VA 24018-3410 | 2014-03-11 |
| 1093147464 | Maria Elizabeth Santalucia | Physical Therapist | 4633 Brambleton Ave, Suite 202, Roanoke, VA 24018-3410 | 2013-08-07 |
| 1043539364 | Tyler A Bowersock | Physical Therapist | 4633 Brambleton Ave, Suite 202, Roanoke, VA 24018-3410 | 2010-05-26 |
| 1689844524 | Lifewise Physical Medicine Center, LLC | Chiropractor | 4633 Brambleton Ave, Roanoke, VA 24018-3410 | 2008-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437718285 | Meng Sun | Chiropractor | 500 N Highway 377 Ste H, Roanoke, TX 76262-6174 | 2019-06-06 |
| 1194157099 | Jenna Denise Beck | Chiropractor | 100 Country View Dr Ste 300, Roanoke, TX 76262-2054 | 2013-08-01 |
| 1710239298 | Barry Eugene Simpson | Chiropractor | 500 N Highway 377, Suite E., Roanoke, TX 76262-7100 | 2012-10-09 |
| 1972862761 | Connections Achievement and Therapy Center, Corp. | Chiropractor | 5430 Peters Creek Rd, Suite 108, Roanoke, VA 24019-3892 | 2012-05-14 |
| 1376815597 | Collective Chiropractic and Rehab Inc | Chiropractor | 509 E Byron Nelson Blvd Ste A, Roanoke, TX 76262-6183 | 2012-02-03 |
| 1720362809 | Timothy R Willson | Chiropractor | 4118c Franklin Rd Sw, Roanoke, VA 24014-5266 | 2011-10-06 |
| 1740575711 | Core Chiropractic and Wellness Center, Inc. | Chiropractor | 16 W Church Ave, Roanoke, VA 24011-2002 | 2011-06-17 |
| 1982936894 | Mark Mandell | Chiropractor | 6200 Sandhurst Dr, Roanoke, VA 24018-7701 | 2010-02-02 |
| 1770745143 | Craig Camidge | Chiropractor | 3538 Electric Rd, Roanoke, VA 24018-4453 | 2008-06-27 |
| 1982865747 | Sean Patrick Skinner | Chiropractor | 6206 Peters Creek Rd, Roanoke, VA 24019-4026 | 2008-06-24 |
| Find all providers in ROANOKE | ||||
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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.