Austin Williams, DR.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P17342 Issued in NC

Practice address

7427 Matthews Mint Hill Rd Ste 103
Mint Hill, NC 28227-7863

Phone

(980) 729-6525

Fax

(980) 729-6530

NPI assigned

Aug 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fight Back Performance and Recovery, LLCGroup PAC ID 0446599294, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fight Back Performance and Recovery, LLC

  • Multi-Specialty Clinic/Center
  • Charlotte, NC
  • NPI 1851867394
  Medicare reassignment Care Compare group NPD
• Volk Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Fort Mill, SC
  • NPI 1326122094
  NPD
• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775
  NPD (past)
• Complete Rehabilitation and Sports Physical Therapy, PC

  • Physical Therapist
  • Ronkonkoma, NY
  • NPI 1811097306
  NPD (past)

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1699290635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 DICKERSON BLVD STE D",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281102884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7427 MATTHEWS MINT HILL RD STE 103",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277863",
            "telephone_number": "980-729-6525",
            "fax_number": "980-729-6530"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1730 Dickerson Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NC",
            "postal_code": "281102884",
            "country_code": "US",
            "telephone_number": "704-283-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "AUSTIN",
        "credential": "DR.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Nicholas Whitesides, MD
• Whole Child Alliance, LLC
• Wholistic Mental Health Services: Adults, Teens, & Children
• Willem Senior Alliance
• Andrea Nicole Williams, M.S.P, SLP
• Chandra Denise Williams
• Alyson Winter, LCSW-A
• Carissa Noelle Wittenbach, DPT, ATC
• Rahel Hailemichael Woldemariam, MD
• Joey Pok Si Yip, PT

• Physical Therapist in Mint Hill, NC
• Providers in Mint Hill, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.