Individual provider Active NPI

James Ryland Austin, PT,DPT,MTC

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1578832911
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27076 Issued in FL
Practice address
319 W Town PL Ste 5
Saint Augustine, FL 32092-3102
Phone
(904) 342-5262
Fax
(904) 217-3580
NPI assigned
Dec 14, 2011
Last updated
Apr 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27076 FL Primary

Addresses

Primary practice location

319 W Town PL Ste 5
Saint Augustine, FL 32092-3102

Mailing address

319 W Town PL Ste 5
Saint Augustine, FL 32092-3102
Phone (904) 342-5262

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1578832911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL STE 5",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923102",
            "telephone_number": "904-342-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL STE 5",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320923102",
            "telephone_number": "904-342-5262",
            "fax_number": "904-217-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "JAMES",
        "middle_name": "RYLAND",
        "credential": "PT,DPT,MTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-14",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT27076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.