Nicholas A Austin, MSPT, OCS
Individual provider Active NPI Physical Therapist · Lagrange, KY
NPI 1649320250 · NPPES record last updated Mar 8, 2017
Key facts
- NPI
- 1649320250
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 004132 (KY)
- Practice address
- 214 Parker Dr
Suite B
Lagrange, KY 40031-1200 - Phone
- (502) 222-0280
- Fax
- (502) 222-0290
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Prorehab Louisville
Practice addresses (Care Compare)
3630 Brownsboro Rd
Louisville, KY 40207-1861
Phone (502) 749-6950
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080429000867 | KY | Practitioner - Physical Therapist in Private Practice | 4587743703 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004132 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prorehab Louisville | Physical Therapist | Current |
Accepting new patients |
| Prorehab Louisville, LLC | Physical Therapist | Current |
Accepting new patients |
| Prorehab Louisville | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy and Rehabilitation, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1407 E Crystal Dr
Ste E
Lagrange, KY 40031
Phone (502) 222-0280
175 S English Station Rd
Ste 220
Louisville, KY 40245
Phone (502) 245-1136
3630 Brownsboro Rd
Louisville, KY 40207
Phone (502) 749-6950
169 S English Station Rd
Louisville, KY 40245
Phone (502) 245-1136
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 004132 | KY | |
| Physical Therapist | 225100000X | 004132 | KY | Yes |
Addresses
Primary practice location
214 Parker Dr
Suite B
Lagrange, KY 40031-1200
Mailing address
13415 Forest Springs Dr
Louisville, KY 40245-2077
Phone (502) 742-4825
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000484221 | Other | KY | ANTHEM PROVIDER ID |
| 000000946564 | Other | KY | BLUE CROSS BLUE SHIELD |
| 4132 | Other | KY | KY STATE LICENSE |
| 9514 | Other | KY | OCS CERTIFICATION |
| 7100392180 | Medicaid | KY |
Other providers in Lagrange, KY
- Gina Anderson
- Ann E Roberts MD PSC
- At Home Rehab Alliance, Inc
- Jason Alan Bailey
- Hilary Balzer
- Baptist Healthcare Affiliates
- Baptist Healthcare System Inc
- Baptist Healthcare System Inc
All providers in Lagrange, KY · Physical Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.