TRAVIS LIGHT PT
NPI 1083133102
Physical Therapist in Salisbury, MD

Active since September 11, 2017
94.35/100
CMS Quality Rating
1409 S SALISBURY BLVD # CD, SALISBURY, MD 21801(667) 330-1061(410) 334-3730 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Travis Light Pt NPPES

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

TRAVIS LIGHT PT (NPI 1083133102) is an individual physical therapist in Salisbury, Maryland, licensed in Maryland (26618) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1083133102
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTRAVIS LIGHTCredential: PT
Location Address1409 S SALISBURY BLVD # CDSalisbury, MD 21801-7151
Mailing Address790 Remington BlvdBolingbrook, IL 60440-4909 · (630) 296-2222 · Fax (630) 759-9510
Fax(410) 334-3730
Sole ProprietorNo
Enumeration DateSeptember 11, 2017
✔ NPI 1083133102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MD · 26618
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1409 S SALISBURY BLVD # CD, Salisbury, MD 21801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Light Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Travis Light reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
52 RISING SUN TOWN CTR
Rising Sun, MD 21911
  • Reassigned Medicare billing, Maryland enrollment
  • 336 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.36
Improvement Activities40

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 Light's NPI number?

The NPI number for Travis Light is 1083133102. It was assigned to this individual provider in the NPPES registry on September 11, 2017.

Where is Travis Light located?

Travis Light practices at 1409 S Salisbury Blvd # Cd, Salisbury, MD 21801. The listed phone number is (667) 330-1061.

What is Travis Light's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Travis Light enrolled in Medicare?

Yes. Travis Light is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Travis Light's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Travis Light reassigns Medicare benefits to Ati Holdings, LLC (Rising Sun, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Travis Light's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Travis Light was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.