Kiley Austin, PT, DPT, LAT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

052748-01 Issued in NY

Practice address

1091 Main St Unit 120
Buffalo, NY 14209-2305

Phone

(716) 282-2888

NPI assigned

Jun 29, 2021

Last updated

Sep 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Excelsior Orthopaedics LLPGroup PAC ID 2062491517, 146 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaustin@excelsiorortho.medentdirect.com

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.

• Excelsior Orthopaedics LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1831196757

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Advanced Care Physical Therapy Aquatics and Fitness PC

  • Physical Therapist
  • Niagara Falls, NY
  • NPI 1891883385
  Medicare reassignment NPD
• Excelsior Orthopaedics, LLP

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1003058462
  NPD

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1376113605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 PONDEROSA CT",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272070",
            "telephone_number": "716-410-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 MAIN ST UNIT 120",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092305",
            "telephone_number": "716-282-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38 Ponderosa Ct",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272070",
            "country_code": "US",
            "telephone_number": "716-410-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KILEY",
        "credential": "PT, DPT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052748-01",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS",
            "identifier": "22",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Austin
• Craig R Austin, LCSW
• Eldora Austin
• Emily Ann Austin, PHARMD
• Kendyl M Austin
• Michael Dennis Austin, PHARMD
• Mikaela Austin, RD
• Stephanie Austin, DNP FNP-BC
• Yaritza Autry, LPN
• Richard Avalos, PHARM.D.

• Physical Therapist in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.