Individual provider Active NPI

Clayton Mitchell Austin, DPT

  • Physical Therapist
  • Florence, AL
National Provider Identifier
1104486513
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9795 Issued in AL
Practice address
1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone
(256) 764-9304
Fax
(256) 764-9343
NPI assigned
Jun 18, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 10

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Encore Rehabilitation, Inc 182 clinicians

Practice addresses (Care Compare)

15041 Hwy 43
Russellville, AL 35653-1973
Phone (256) 350-1764

2515 Avalon Ave
Muscle Shoals, AL 35661-3129
Phone (256) 383-6676

42465 Hwy 195
Haleyville, AL 35565-7052
Phone (205) 486-2753

5643 Sermon Rd S
B
Theodore, AL 36582-3608
Phone (251) 660-1505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603002483 AL Practitioner - Physical Therapist in Private Practice 7618208448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9795ALMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehab and Sports Medicine of the Shoals, Inc CurrentSince Jun 14, 2021 Accepting new patients
Encore Rehabilitation, Inc Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients
Encore Rehabilitation, Inc. Physical Therapist CurrentSince Nov 11, 2024 Accepting new patients

Locations

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

1751 Veterans Dr
Ste 300
Florence, AL 35630
Phone (256) 718-3200

104 Physicians Dr
Ste C
Muscle Shoals, AL 35661
Phone (256) 246-3490

2515 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 383-6676

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9795 AL Primary

Addresses

NPPES NPI Registry

Primary practice location

1751 Veterans Dr Ste 300
Florence, AL 35630-4930

Mailing address

1751 Veterans Dr Ste 300
Florence, AL 35630-4930
Phone (256) 764-9304

Other practice location 1

750 Colonial Promenade Pkwy Ste 4400
Alabaster, AL 35007-3197
Phone (205) 358-1040

Other practice location 2

2735 Legends Pkwy
Prattville, AL 36066-7755
Phone (334) 310-2100

Other practice location 3

104 Physicians Dr Ste C
Muscle Shoals, AL 35661-2100
Phone (256) 764-9304

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
260497MedicaidAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 15, 2021.

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1104486513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-764-9304",
            "fax_number": "256-764-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 300",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304930",
            "telephone_number": "256-764-9304",
            "fax_number": "256-764-9343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Colonial Promenade Pkwy Ste 4400",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350073197",
            "country_code": "US",
            "telephone_number": "205-358-1040",
            "fax_number": "205-358-1041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2735 Legends Pkwy",
            "address_purpose": "LOCATION",
            "city": "Prattville",
            "state": "AL",
            "postal_code": "360667755",
            "country_code": "US",
            "telephone_number": "334-310-2100",
            "fax_number": "334-310-2203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Physicians Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Muscle Shoals",
            "state": "AL",
            "postal_code": "356612100",
            "country_code": "US",
            "telephone_number": "256-764-9304",
            "fax_number": "256-764-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "CLAYTON",
        "middle_name": "MITCHELL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-18",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260497",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.