Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kendall Trae Travis, PT, DPT

Individual provider Physical Therapist · NPI 1174945661

Mr. Kendall Trae Travis, PT, DPT is a Physical Therapist in Private Practice in Lynchburg, Virginia. Qualified in 2013, 13 years ago. Practices with Centra Outpatient Rehabilitation Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
13
Licensed in
VA
In the registry since
2014
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

801 Wyndhurst Dr
Lynchburg, VA 24502-2550
Phone: (434) 237-8160
Fax: (434) 237-8161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305208170 (VA)

Record details

NPI number1174945661
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedJanuary 17, 2014
Last updated in NPPESMay 12, 2023
Certification dateMay 12, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Centra Outpatient Rehabilitation Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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