Individual provider Active NPI

Austyn Joines, PT

  • Physical Therapist
  • Bainbridge Island, WA
National Provider Identifier
1457978801
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61271379 Issued in WA
Practice address
9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone
(206) 842-2428
Fax
(206) 842-2890
NPI assigned
Jul 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 63680 OR
Physical Therapist 225100000X 61271379 WA Primary

Addresses

Primary practice location

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647

Mailing address

1345 Center Dr Ste 100
Medford, OR 97501-7945
Phone (541) 210-5674

Other identifiers 1

IdentifierTypeStateIssuer
500782837MedicaidOR

Other names 1

  • Austyn Byassee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220603001462 WA Practitioner - Physical Therapist in Private Practice 7719303841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Motion Physical Therapy, Inc., PSGroup PAC ID 9638162993, 9 clinicians

Practice addresses (Care Compare)

9419 Coppertop Loop NE
Bainbridge Island, WA 98110-3647
Phone (206) 842-2428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61271379WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Motion Physical Therapy, Inc., PS Physical Therapist CurrentSince Apr 19, 2022 Accepting new patients

Locations

9419 Coppertop Loop NE
Bainbridge Island, WA 98110
Phone (206) 842-2428

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1457978801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 CENTER DR STE 100",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017945",
            "telephone_number": "541-210-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9419 COPPERTOP LOOP NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981103647",
            "telephone_number": "206-842-2428",
            "fax_number": "206-842-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINES",
        "first_name": "AUSTYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "63680",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61271379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500782837",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUSTYN",
            "last_name": "BYASSEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.