Provider Demographics
NPI:1912946948
Name:ROBBINS, TRAVIS JOSEPH (MSPT)
Entity Type:Individual
Prefix:
First Name:TRAVIS
Middle Name:JOSEPH
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 E UWCHLAN AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-1259
Mailing Address - Country:US
Mailing Address - Phone:610-841-3555
Mailing Address - Fax:610-841-3558
Practice Address - Street 1:1245 S CEDAR CREST BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6258
Practice Address - Country:US
Practice Address - Phone:610-841-3555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01013100225100000X
PAPT016014225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA068866VNAMedicare PIN
NJ108580V9CMedicare PIN