Mary Johnston Austin, PHYSICAL THERAPIST
Individual provider Active NPI Specialist · Roscoe, NY
NPI 1790713873 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790713873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 0050371 (NY)
- Practice address
- 9 Rockland Rd
Roscoe, NY 12776-5307 - Phone
- (607) 498-5653
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0050371 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0050371 | NY | Yes |
Addresses
Primary practice location
9 Rockland Rd
Roscoe, NY 12776-5307
Mailing address
9 Rockland Rd
Roscoe, NY 12776-5307
Phone (607) 498-5653
Other names
- Mrs. Mary J. Austin
Other providers in Roscoe, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.