January Renee Austin, DPT
Individual provider Active NPI Physical Therapist · Norton, MA
NPI 1780930552 · NPPES record last updated Apr 23, 2021
Key facts
- NPI
- 1780930552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 20058 (MA)
- Practice address
- 314 E Main St Unit 2
Norton, MA 02766-2571 - Phone
- (508) 952-2913
- Fax
- (508) 952-2105
- NPI assigned
- Jul 31, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Physically Fit Physical Therapy Inc
Practice addresses (Care Compare)
314 E Main St
Norton, MA 02766-2571
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130514000725 | MA | Practitioner - Physical Therapist in Private Practice | 6507003340 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20058 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physically Fit Physical Therapy, Inc | Physical Therapist | Current |
Accepting new patients |
| Bay State Physical Therapy of Randolph Inc | Current |
Accepting new patients |
Locations
703 Granite St
Fl 3
Braintree, MA 02184
703 Granite St
Ste 300
Braintree, MA 02184
Phone (603) 626-4205
67 Mechanic St
Foxboro, MA 02035
Phone (508) 203-9350
45 Forge Hill Rd
Franklin, MA 02038
Phone (508) 520-4652
892 Plain St
Marshfield, MA 02050
Phone (781) 536-4034
314 E Main St
Norton, MA 02766
Phone (508) 285-1970
314 E Main St
Unit 2
Norton, MA 02766
Phone (508) 952-2913
1343 Providence Hwy
Norwood, MA 02062
Phone (781) 702-1339
1 Credit Union Way
Fl 3
Randolph, MA 02368
Phone 7819613370225
1054 County St
Somerset, MA 02726
Phone (508) 674-3340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 20058 | MA | Yes |
Addresses
Primary practice location
314 E Main St Unit 2
Norton, MA 02766-2571
Mailing address
314 E Main St Unit 2
Norton, MA 02766-2571
Phone (508) 952-2913
Other practice location 1
67 Mechanic St
Foxboro, MA 02035-2012
Phone (508) 203-9350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110152953A | Medicaid | MA |
Other providers in Norton, MA
- Shana Lynn Antonino I
- Elizabeth M. Archambault
- Daniel Arens
- Marissa Jane Aries
- Ascend Mind Behavioral Healthcare Solutions
- Victoria Lee Bacon
- Michele Catherine Baeta
- Mahshid Bahadoran
- Christen Baker-Bagnell
- Lowell Richard Barnes
All providers in Norton, MA · Physical Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.