Active NPI
Lashay M Austin, MS, OTR/L
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1427245828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004360
- Practice address
- 2790 Elkmont RDG SW
Atlanta, GA 30331-9434 - Phone
- (843) 319-0592
- Fax
- (404) 346-7869
- NPI assigned
- Sep 29, 2007
- Last updated
- Nov 10, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004360 | GA | Primary |
Addresses
Primary practice location
2790 Elkmont RDG SW
Atlanta, GA 30331-9434
Mailing address
PO Box 2128
Powder Springs, GA 30127-7509
Phone (843) 319-0592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427245828 | Medicaid | GA |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT004360 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320883200000",
"number": "1427245828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2128",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301277509",
"telephone_number": "843-319-0592",
"fax_number": "404-346-7869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2790 ELKMONT RDG SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303319434",
"telephone_number": "843-319-0592",
"fax_number": "404-346-7869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "LASHAY",
"middle_name": "M",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-29",
"last_updated": "2011-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004360",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427245828",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.