Active NPI
Brooks Austin
- Physical Therapy Assistant
- Truckee, CA
National Provider Identifier
1609524909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 51768
- Practice address
- 11253 Brockway Rd Ste 102
Truckee, CA 96161-3358 - Phone
- (530) 214-7029
- NPI assigned
- Mar 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 51768 | CA | Primary |
Addresses
Primary practice location
11253 Brockway Rd Ste 102
Truckee, CA 96161-3358
Mailing address
11253 Brockway Rd Ste 102
Truckee, CA 96161-3358
Phone (530) 214-7029
Other practice location 1
1040 Marshall Way
Placerville, CA 95667-5706
Phone (530) 622-3400
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51768 | CA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1609524909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11253 BROCKWAY RD STE 102",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961613358",
"telephone_number": "530-214-7029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11253 BROCKWAY RD STE 102",
"city": "TRUCKEE",
"state": "CA",
"postal_code": "961613358",
"telephone_number": "530-214-7029"
}
],
"practiceLocations": [
{
"address_1": "1040 Marshall Way",
"address_purpose": "LOCATION",
"city": "Placerville",
"state": "CA",
"postal_code": "956675706",
"country_code": "US",
"telephone_number": "530-622-3400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AUSTIN",
"first_name": "BROOKS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-15",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "51768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Truckee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.