Kenneth Darrell Austin, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

876 Issued in SC

Practice address

105 Physicians Park Dr
Clinton, SC 29325-7551

Phone

(864) 429-3003

NPI assigned

Mar 7, 2007

Last updated

Mar 23, 2009By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Rehabilitation Group

  • Physical Therapist
  • Columbia, SC
  • NPI 1629407606
  NPD (past)
• Physical Rehabilitation Group, LLC

  • Physical Therapist
  • Columbia, SC
  • NPI 1033170550
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1861523664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 PHYSICIANS PARK DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257551",
            "telephone_number": "864-429-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PHYSICIANS PARK DR",
            "city": "CLINTON",
            "state": "SC",
            "postal_code": "293257551",
            "telephone_number": "864-429-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KENNETH",
        "middle_name": "DARRELL",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH0808",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Wilkes Armstrong, RN
• Assisted Living Concepts Inc (Langston House)
• Danielle Atkins
• Atkinson Family Spine Care, LLC (Clinton Chiropractic Clinic)
• Matthew Eric Atkinson, DC
• Alexander Michael Barrett, MS
• Stephen Paul Bayuk, D.O.
• Barbara A. Beeks, M.A.
• Best Care Home Services LLC
• Tammy Binger

• Physical Therapist in Clinton, SC
• Providers in Clinton, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.