Austin Faulkner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015552 Issued in GA

Practice address

2000 Mirror Lake Blvd
Villa Rica, GA 30180-2124

Phone

(770) 456-7877

Fax

(770) 456-7880

NPI assigned

Aug 22, 2021

Last updated

Aug 22, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accel Physical Therapy IncGroup PAC ID 8921109067, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Accel Physical Therapy Inc

  • Physical Therapist
  • Villa Rica, GA
  • NPI 1184827495
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1326714049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MIRROR LAKE BLVD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301802124",
            "telephone_number": "770-456-7877",
            "fax_number": "770-456-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2983 Chapel Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351765",
            "country_code": "US",
            "telephone_number": "770-947-8177",
            "fax_number": "770-947-8377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 Cunningham Dr",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301172815",
            "country_code": "US",
            "telephone_number": "678-664-1467",
            "fax_number": "678-664-1483",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 Nathan Dean Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "GA",
            "postal_code": "301574910",
            "country_code": "US",
            "telephone_number": "678-402-7770",
            "fax_number": "678-402-6947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "AUSTIN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.