Active NPI
Austin King
- Physical Therapist
- Lynchburg, VA
National Provider Identifier
1346086543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305216524
- Practice address
- 3300 Rivermont Ave
Lynchburg, VA 24503-2030 - Phone
- (434) 200-3000
- NPI assigned
- Jul 8, 2024
- Sex
- Male
- 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 | 2305216524 | VA | Primary |
Addresses
Primary practice location
3300 Rivermont Ave
Lynchburg, VA 24503-2030
Mailing address
2734 Fort Ave Apt 214
Lynchburg, VA 24501-3368
Phone (540) 631-4439
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305216524 | VA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1346086543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2734 FORT AVE APT 214",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245013368",
"telephone_number": "540-631-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 RIVERMONT AVE",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245032030",
"telephone_number": "434-200-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "AUSTIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305216524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.