Active NPI
Stephanie Brooks Austin, PT, DPT
- Physical Therapist
- Herrin, IL
National Provider Identifier
1356743314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021042
- Practice address
- 201 S 14TH St
Herrin, IL 62948-3631 - Phone
- (618) 988-6131
- NPI assigned
- Sep 22, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 070021042 | IL | Primary |
Addresses
Primary practice location
201 S 14TH St
Herrin, IL 62948-3631
Mailing address
217 E Poplar St
Cobden, IL 62920-2214
Phone (206) 354-6269
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 |
|---|---|---|---|
| 070021042 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554249600000",
"number": "1356743314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 E POPLAR ST",
"city": "COBDEN",
"state": "IL",
"postal_code": "629202214",
"telephone_number": "206-354-6269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 S 14TH ST",
"city": "HERRIN",
"state": "IL",
"postal_code": "629483631",
"telephone_number": "618-988-6131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "STEPHANIE",
"middle_name": "BROOKS",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-22",
"last_updated": "2019-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herrin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.