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TRAVIS J WINGATE
NPI 1053160135
Day Training/Habilitation Specialist in Coram, NY

Active since May 13, 2024
3600 ROUTE 112, CORAM, NY 11727(631) 920-8520 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Travis J Wingate NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS J WINGATE (NPI 1053160135) is an individual day training/habilitation specialist in Coram, New York and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1053160135
Entity TypeIndividualMale
Primary Taxonomy373H00000X
Provider Legal NameTRAVIS J WINGATE
Location Address3600 ROUTE 112Coram, NY 11727-4116
Mailing Address14202 20th Ave Fl 3Flushing, NY 11351-3000
Phone(631) 920-8520
Sole ProprietorYes
Enumeration DateMay 13, 2024
NPPES CertifiedMay 13, 2024
✔ NPI 1053160135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
3600 ROUTE 112, Coram, NY 11727
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAQUEL FERNANDES
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
ANNE KIRKHAM
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
JENNIFER HATFIELD
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (630) 920-8500
JENNIFER WILLA SIEGFRIED
Social Worker
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500
SHANNON TIERNEY
Counselor (Mental Health)
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8610
ROSE PRISCILLA SANCHEZ
Peer Specialist
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8302
NATHALY ESTRADA
Student in an Organized Health Care Education/Training Program
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8515
MISS MARY LOUISE BLOUNT
Case Manager/Care Coordinator
3600 ROUTE 112
CORAM, NY 11727
Suffolk County (631) 920-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Wingate's NPI number?

The NPI number for Travis Wingate is 1053160135. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Where is Travis Wingate located?

Travis Wingate practices at 3600 Route 112, Coram, NY 11727. The listed phone number is (631) 920-8520.

What is Travis Wingate's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Travis Wingate was last updated on May 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.