| Terran Travis, DPT | |
|
55 Lock St, New Haven, CT 06511-3603 | |
| (203) 436-5583 | |
| Not Available |
| Full Name | Terran Travis |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 55 Lock St, New Haven, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225747504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13785 (Connecticut) | Primary |
| Provider Name | Anb-ptsma Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Terran Travis, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595 | Terran Travis, DPT 55 Lock St, New Haven, CT 06511-3603 Ph: (203) 436-5583 |
Dr. Shannon Mellon, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 20 York St, New Haven, CT 06510 Phone: 860-302-2686 | |
Lauren Mollow, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1354 Chapel St, New Haven, CT 06511 Phone: 203-867-8374 Fax: 203-867-8366 | |
Mr. Marc I Robertson, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 339 Eastern St, Suite 317, New Haven, CT 06513 Phone: 203-468-7002 Fax: 203-468-7078 | |
Dr. Emily Rose Guedes, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 George St, New Haven, CT 06510 Phone: 203-498-5980 Fax: 203-498-5999 | |
Kimberly Ann Reilly, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, New Haven, CT 06511 Phone: 203-789-3441 | |
Vladimir Kovac, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1354 Chapel St, New Haven, CT 06511 Phone: 203-867-8374 Fax: 203-867-8366 | |
Margaret Thomas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 230 George St, New Haven, CT 06510 Phone: 203-498-5980 Fax: 203-498-5999 |