Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Travis Dudley, MSOT, OTR/L

Individual provider Occupational Therapist · NPI 1487246559

Travis Dudley, MSOT, OTR/L is an Occupational Therapist in Private Practice in Bishop, California. Qualified in 2020, 6 years ago. Practices with Southern Mono Health Care District, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2021
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

162 S Main St
Bishop, CA 93514-3415
Phone: (760) 872-2942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 85 Sierra Park Rd, Mammoth Lakes, CA 93546-2073 — (760) 934-7302

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT21664 (CA)

Record details

NPI number1487246559
Entity typeIndividual (Type 1)
GenderMale
Credentials MSOT , OTR/L
Sole proprietorNo
NPI enumeratedFebruary 9, 2021
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Southern Mono Health Care District — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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