John Augustyn

Individual provider Active NPI Physical Therapy Assistant · Heathrow, FL

NPI 1699958637 · NPPES record last updated Dec 13, 2007

Key facts

NPI
1699958637
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
1891 (KS)
Practice address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone
(800) 798-6035
NPI assigned
Dec 13, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1891KSMDOptometrist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 1891 KS Yes

Addresses

Primary practice location

1485 International Pkwy
Heathrow, FL 32746-5303

Mailing address

716 Kennebec St
Burlington, KS 66839-1456
Phone (620) 203-6306

Other providers in Heathrow, FL

All providers in Heathrow, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.