IndividualActive
Travis Northern
NPI 1104465145 · Physical Medicine & Rehabilitation Physician · Columbia, MO
Provider details
- NPI number
- 1104465145
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 1304720 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
800 Hospital Dr
Columbia, MO 65201-5275
Phone: (573) 814-6000
Street-level locationGet directions
Mailing address
2997 Oak St Apt 205
Kansas City, MO 64108-3370
Registry dates
- Enumerated
- 2019-12-21
- Last updated
- 2019-12-21
- Certified
- 2019-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.