NPIMap

Organization Active NPI

Austin Allen Gentry PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1730418997
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
449 Issued in AZ
Legal business name
AUSTIN ALLEN GENTRY PT
Practice address
899 N Wilmot Rd
#A-3
Tucson, AZ 85711-1714
Phone
(520) 745-0545
Fax
(520) 745-0505
NPI assigned
Dec 17, 2009
Last updated
Dec 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Austin Allen Gentry, PTNPI 1568429413
Title
Owner/Provider
Phone
(520) 745-0545

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 449 AZ Primary

Addresses

Primary practice location

899 N Wilmot Rd
#A-3
Tucson, AZ 85711-1714

Mailing address

899 N Wilmot Rd
#A-3
Tucson, AZ 85711-1714
Phone (520) 745-0545

Other identifiers 1

IdentifierTypeStateIssuer
783383721MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Austin Allen Gentry DC PT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1730418997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD",
            "address_2": "#A-3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111714",
            "telephone_number": "520-745-0545",
            "fax_number": "520-745-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 N WILMOT RD",
            "address_2": "#A-3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111714",
            "telephone_number": "520-745-0545",
            "fax_number": "520-745-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN ALLEN GENTRY PT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "520-745-0545",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783383721",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.