Tyler Austin

Individual provider Active NPI Physical Therapist · Sharpsburg, GA

NPI 1043666852 · NPPES record last updated May 11, 2016

Key facts

NPI
1043666852
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
010994 (GA)
Practice address
480 Barrington Farms Pkwy
Sharpsburg, GA 30277-1865
Phone
(706) 975-7435
NPI assigned
May 11, 2016
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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 fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
010994GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Physical Therapy of Fayette Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 010994 GA Yes

Addresses

Primary practice location

480 Barrington Farms Pkwy
Sharpsburg, GA 30277-1865

Mailing address

480 Barrington Farms Pkwy
Sharpsburg, GA 30277-1865

Other providers in Sharpsburg, GA

All providers in Sharpsburg, GA · Physical Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.