Individual provider Active NPI

Austin Henry Westra

  • Physical Therapist
  • Evansville, WI
National Provider Identifier
1265363162
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1775024 Issued in WI
Practice address
535 E Main St
Evansville, WI 53536-1177
Phone
(608) 882-9080
Fax
(608) 882-9081
NPI assigned
May 28, 2026
Last updated
May 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 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 1775024 WI Primary

Addresses

Primary practice location

535 E Main St
Evansville, WI 53536-1177

Mailing address

535 E Main St
Evansville, WI 53536-1177
Phone (608) 882-9080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604002723 WI Practitioner - Physical Therapist in Private Practice 0648741264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Wisconsin School of Medicine, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy, LLCGroup PAC ID 4486842721, 6 clinicians

Practice addresses (Care Compare)

535 E Main St
Evansville, WI 53536-1177
Phone (608) 882-9080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1775024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Core Physical Therapy, LLC Physical Therapist CurrentSince May 29, 2026 Accepting new patients

Locations

535 E Main St
Evansville, WI 53536
Phone (608) 774-2477

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1265363162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361177",
            "telephone_number": "608-882-9080",
            "fax_number": "608-882-9081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST",
            "city": "EVANSVILLE",
            "state": "WI",
            "postal_code": "535361177",
            "telephone_number": "608-882-9080",
            "fax_number": "608-882-9081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRA",
        "first_name": "AUSTIN",
        "middle_name": "HENRY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "1775024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.