Individual provider Active NPI

Austin Taylor Lloyd, PT, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1770182297
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT028795 Issued in PA
Practice address
1107 E Erie Ave Ste 11
Philadelphia, PA 19124-5423
Phone
(215) 743-3699
NPI assigned
Oct 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT028795 PA Primary

Addresses

Primary practice location

1107 E Erie Ave Ste 11
Philadelphia, PA 19124-5423

Mailing address

218 Arch St Apt 1001
Philadelphia, PA 19106-4588
Phone (732) 241-7464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211115001262 PA Practitioner - Physical Therapist in Private Practice 3274922133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baniewicz Physical Therapy IncGroup PAC ID 6406262112, 5 clinicians

Practice addresses (Care Compare)

11 Friends LN
Suite 103
Newtown, PA 18940-1885
Phone (215) 968-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT028795PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baniewicz Physical Therapy, Inc. Orthopedic CurrentSince Oct 4, 2021 Accepting new patients

Locations

11 Friends Ln
Ste 103
Newtown, PA 18940
Phone (215) 741-5600

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1770182297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 ARCH ST APT 1001",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064588",
            "telephone_number": "732-241-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E ERIE AVE STE 11",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191245423",
            "telephone_number": "215-743-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLOYD",
        "first_name": "AUSTIN",
        "middle_name": "TAYLOR",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT028795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.