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

Travis Shupe, PT

Individual provider Physical Therapist · NPI 1760808075

Travis Shupe, PT is a Physical Therapist in Private Practice in Duffield, Virginia. Graduated from East Tennessee State University Quillen College of Medicine in 2013, 13 years ago. Practices with Holston Medical Group PC, a 242-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
13
Trained at
East Tennessee State University Quillen College of Medicine
Licensed in
TN, VA
In the registry since
2014
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

121 Advanced Technology Dr
Duffield, VA 24244
Phone: (276) 431-7590
Fax: (276) 461-7591
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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 2305208564 (VA)
Physical Therapist Taxonomy 225100000X · Licence 9915 (TN)

Record details

NPI number1760808075
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 11, 2014
Last updated in NPPESMarch 18, 2014
Mailing addressPo Box 9, Kingsport, TN 37662-0009

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolEAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Holston Medical Group Pc — 242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Duffield