Active NPI
Stacy Hinson-Austin, PT
- Physical Therapist
- Yonkers, NY
National Provider Identifier
1104102409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027251
- Practice address
- 679 Warburton Ave
1P
Yonkers, NY 10701-1662 - Phone
- (914) 625-2291
- NPI assigned
- Oct 31, 2011
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027251 | NY | Primary |
Addresses
Primary practice location
679 Warburton Ave
1P
Yonkers, NY 10701-1662
Mailing address
377 E 33Rd St
4D
New York, NY 10016-9474
Phone (914) 625-2291
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 027251 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- New York, NY
- NPI 1437222890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454371200000",
"number": "1104102409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "377 E 33RD ST",
"address_2": "4D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169474",
"telephone_number": "914-625-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "679 WARBURTON AVE",
"address_2": "1P",
"city": "YONKERS",
"state": "NY",
"postal_code": "107011662",
"telephone_number": "914-625-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINSON-AUSTIN",
"first_name": "STACY",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-31",
"last_updated": "2016-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.