Bradley Wayne Austin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05010372A Issued in IN

Practice address

9302 N Meridian St Ste 190
Indianapolis, IN 46260-1818

Phone

(317) 843-1270

Fax

(317) 843-4174

NPI assigned

Jul 20, 2010

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Thomas a Brady Sports Medicine Center, PC

  • Orthopaedic Surgery Physician
  • Carmel, IN
  • NPI 1467484212

  IN, Physical Therapist

  Medicare reassignment NPD
• Thomas a Brady Sports Medicine Center, PC

  • Orthopaedic Surgery Physician
  • Noblesville, IN
  • NPI 1407480239

  Physical Therapist

  NPD

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471132800000",
    "number": "1700199734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 N MERIDIAN ST STE 190",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462601818",
            "telephone_number": "317-843-1270",
            "fax_number": "317-843-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "BRADLEY",
        "middle_name": "WAYNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2016-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05010372A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01402683",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100239270",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Austgen, M.D.
• Theresa A Austgen, OD
• Mohogany Austin-Marvel
• Amanda Behny Austin, CPNP
• Annette L. Austin, RPH
• Crystal Renee Austin
• David Wayne Austin, DDS
• Deanna Austin
• Janelle Austin, PA
• Latoyia Cherdise Austin, FNP-C

• All providers in Indianapolis, IN
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.