Individual provider Active NPI

Austin Baskin, PHYSICAL THERAPIST

  • Physical Therapist
  • Pascagoula, MS
National Provider Identifier
1154003705
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1408 Ingalls Ave
Pascagoula, MS 39567-5625
Phone
(228) 471-5047
Fax
(833) 662-1772
NPI assigned
Aug 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X MS Primary

Addresses

Primary practice location

1408 Ingalls Ave
Pascagoula, MS 39567-5625

Mailing address

1408 Ingalls Ave
Pascagoula, MS 39567-5625
Phone (228) 471-5047

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230930000402 MS Practitioner - Physical Therapist in Private Practice 4789038357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Rehabilitation Services, LLCGroup PAC ID 6103138326, 6 clinicians

Practice addresses (Care Compare)

4016 Cassimer Ave
Diberville, MS 39540-2309
Phone (228) 280-8120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Rehabilitation Services LLC Physical Therapist CurrentSince Aug 28, 2023 Accepting new patients
Golden Triangle Physical Therapy Inc. Physical Therapist Past Accepting new patients

Locations

4016 Cassimer Ave
Diberville, MS 39540
Phone (228) 280-8120

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1154003705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 INGALLS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675625",
            "telephone_number": "228-471-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 INGALLS AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675625",
            "telephone_number": "228-471-5047",
            "fax_number": "833-662-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASKIN",
        "first_name": "AUSTIN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.