Individual provider Active NPI

Justin Suarez Austria, DPT

  • Physical Therapist
  • Lenexa, KS
National Provider Identifier
1023747722
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06992 Issued in KS
Practice address
15609 W 87TH St
Lenexa, KS 66219-1435
Phone
(913) 495-9704
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223002349 MO Practitioner - Physical Therapist in Private Practice 1052784972 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-06992KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Dec 28, 2022 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients
Select Physical Therapy Holdings, Inc. Physical Therapist CurrentSince Dec 28, 2022 Accepting new patients
Novacare Physical Therapist PastSince Jun 12, 2022 Accepting new patients
Select Physical Therapy Holdings, Inc. PastSince Jun 12, 2022 Accepting new patients

Locations

200 N Keene St
Columbia, MO 65201
Phone (573) 874-0001

200 NE 54th St
Ste 101
Kansas City, MO 64118
Phone (816) 455-0301

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-06992 KS Primary

Addresses

NPPES NPI Registry

Primary practice location

15609 W 87TH St
Lenexa, KS 66219-1435

Mailing address

11614 Tomahawk Creek Pkwy Apt H
Leawood, KS 66211-2633

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 8, 2022.

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1023747722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 TOMAHAWK CREEK PKWY APT H",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662112633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15609 W 87TH ST",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191435",
            "telephone_number": "913-495-9704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTRIA",
        "first_name": "JUSTIN",
        "middle_name": "SUAREZ",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.