Travis Doom, PT, DPT is a
Physical Therapist physician based in Coppell, Texas. Travis Doom is licensed to practice in Texas (license number 1370802) and his current practice location is 413 W Bethel Rd Ste 400, Coppell, Texas. He can be reached at his office (for appointments etc.) via phone at
(972) 304-9100.
NPI number for Travis Doom is 1346746195 and his current mailing address is 2816 E Beltline Ln Ne, Grand Rapids, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346746195.
Physician's Profile
| Full Name | Travis Doom |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 413 W Bethel Rd Ste 400, Coppell, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1346746195
- Provider Enumeration Date: 04/02/2018
- Last Update Date: 11/29/2022
Medical Identifiers
Medical identifiers for Travis Doom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346746195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 5501018298 (Michigan) | Secondary |
| 225100000X | Physical Therapist | 1370802 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Doom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Travis Doom, PT, DPT
2816 E Beltline Ln Ne,
Grand Rapids, MI 49525-9432
Ph: (616) 361-8662 | Travis Doom, PT, DPT
413 W Bethel Rd Ste 400,
Coppell, TX 75019-4477
Ph: (972) 304-9100 |
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