Active NPI
Myra S Austin, LRT/CTRS
- Recreation Therapist
- Chapel Hill, NC
National Provider Identifier
1093032096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 225800000X
- Practice address
- 2551 Homestead Rd
Chapel Hill, NC 27516-9087 - Phone
- (919) 968-2073
- Fax
- (919) 968-2093
- NPI assigned
- Apr 29, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 225800000X | NC | Primary |
Addresses
Primary practice location
2551 Homestead Rd
Chapel Hill, NC 27516-9087
Mailing address
2551 Homestead Rd
Chapel Hill, NC 27516-9087
Phone (919) 968-2073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225800000X | NC | MD | Recreation Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272499200000",
"number": "1093032096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2551 HOMESTEAD RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169087",
"telephone_number": "919-968-2073",
"fax_number": "919-968-2093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2551 HOMESTEAD RD",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169087",
"telephone_number": "919-968-2073",
"fax_number": "919-968-2093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "MYRA",
"middle_name": "S",
"credential": "LRT/CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-29",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "NC",
"license": "225800000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.