| Travis Tupper, PT, DPT | |
|
6201 Merle Hay Rd Ste 100, Johnston, IA 50131-1263 | |
| (515) 957-7790 | |
| (515) 416-9065 |
| Full Name | Travis Tupper |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 4 Years |
| Location | 6201 Merle Hay Rd Ste 100, Johnston, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871221655 | NPI | - | NPPES |
| 113156 | Other | IA | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 113156 (Iowa) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Work Systems Rehab Pc | 5193619625 | 41 |
| Provider Name | Work Systems Rehab Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1417047317 PECOS PAC ID: 5193619625 Enrollment ID: O20040213000305 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis Tupper, PT, DPT 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: () - | Travis Tupper, PT, DPT 6201 Merle Hay Rd Ste 100, Johnston, IA 50131-1263 Ph: (515) 957-7790 |
Andrea Simeck, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8757 | |
Kayla Brady, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 Fax: 515-727-8757 | |
David James Parr, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5627 Nw 86th St # 200, Johnston, IA 50131 Phone: 515-270-0303 | |
Nathan Lucs, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5290 Nw 86th St, Johnston, IA 50131 Phone: 515-875-9706 Fax: 515-875-9707 | |
Limitless Rehab Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6701 Corporate Dr Ste R, Johnston, IA 50131 Phone: 515-220-1365 | |
Daisy Alejandra Cerna Poster, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 Fax: 515-727-8757 | |
Laura Vandusseldorp, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5406 Merle Hay Rd, Johnston, IA 50131 Phone: 515-727-8750 |