Stephen Joseph Austin, DPT
Individual provider Active NPI Physical Therapist · Omaha, NE
NPI 1376903476 · NPPES record last updated Mar 2, 2016
Key facts
- NPI
- 1376903476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 038992 (NY)
- Practice address
- 13609 California St
Suite 200
Omaha, NE 68154-5260 - Phone
- (402) 891-1118
- NPI assigned
- Mar 2, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Grand Island Physical Therapy PC
Practice addresses (Care Compare)
1801 Grand Island Blvd
Grand Island, NY 14072-2249
Phone (716) 773-4323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230227002325 | NY | Practitioner - Physical Therapist in Private Practice | 4587955935 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Physical Therapy PC | Physical Therapist | Current |
Accepting new patients |
Locations
1801 Grand Island Blvd
Grand Island, NY 14072
Phone (716) 773-4323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 038992 | NY | Yes |
Addresses
Primary practice location
13609 California St
Suite 200
Omaha, NE 68154-5260
Mailing address
13609 California St
Suite 200
Omaha, NE 68154-5260
Phone (402) 891-1118
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.