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

Travis Charles Headley, PA

Individual provider Physician Assistant · NPI 1659484483

Travis Charles Headley, PA is a Physician Assistant in Coeur D Alene, Idaho. Qualified in 2002, 24 years ago. Practices with Orthopedic Surgery and Sports, a 28-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
24
Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

850 W Ironwood Dr Ste 202
Coeur D Alene, ID 83814-4903
Phone: (208) 664-2175
Fax: (208) 664-1226
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA406 (ID)

Record details

NPI number1659484483
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Orthopedic Surgery And Sports — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Coeur D Alene