DANIEL TRAVIS (OTR) – Occupational Therapist, NPI 1033693536

DANIEL TRAVIS (OTR) is a healthcare provider. based in Ringgold, Georgia. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. The NPI Number for DANIEL TRAVIS (OTR) is 1033693536

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL TRAVIS (OTR)
NPI
1033693536
Phone
(423) 802-4159
Address
207 MYTHICAL LN
Enumeration Date
20 September 2018
Last Update Date
20 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4236242696
Graduation Year
2018 (8 years ago)
PAC ID
8022352111
Group Practice PAC ID
1254229156
Professional Enrollment ID
I20181129003447
Address ID
TN374043322CH2415XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

486 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in GA

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Provider Addresses for DANIEL TRAVIS (OTR)

  • 207 MYTHICAL LN

    RINGGOLD, GA 307365892

    Phone: (423) 802-4159

    Type: Mailing

  • Battlefield Parkway, Ringgold, Catoosa County, Georgia, 30736, United States

    RINGGOLD, GA 30736

    Phone: (423) 624-2696

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181129003447IOccupational Therapist In Private PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes90794$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes84198$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes28443$0
97022Application of whirlpool therapy7817$0
97530Therapy procedure using functional activities7415$0
View full utilization report →

Insurance plans in this area (ZIP 30736)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254229156View full group profile
NameSpecialtyState
-TN
-TN
-TN
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeTN
Occupational Therapist In Private PracticeTN
Physical Therapist In Private PracticeAL
-TN
P O D I A T R YWA

Reviews

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Frequently asked questions

Can I use this page to confirm DANIEL TRAVIS (OTR)'s NPI?
Yes. DANIEL TRAVIS (OTR) is listed with NPI 1033693536 in the public NPI dataset.
Is DANIEL TRAVIS (OTR) listed as active for patients and plans?
The listing shows DANIEL TRAVIS (OTR) as active in the NPI system.
What is DANIEL TRAVIS (OTR) best known for clinically?
Directory data describes DANIEL TRAVIS (OTR) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What area does DANIEL TRAVIS (OTR) serve?
DANIEL TRAVIS (OTR)'s listing highlights Ringgold, Georgia; more addresses can appear in NPPES.
Why does DANIEL TRAVIS (OTR) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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