Individual provider Active NPI

Brooks Austin

  • Physical Therapy Assistant
  • Truckee, CA
National Provider Identifier
1609524909
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
51768 Issued in CA
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

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
51768CAMDMedical 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.

Verify at the official NPI Registry.