Susan Austin, PTA, CDP

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2880 Issued in TN

Practice address

300 Laboratory Rd
Oak Ridge, TN 37830-6911

Phone

(865) 482-7698

NPI assigned

Oct 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1891244893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 PONY EXPRESS DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379344410",
            "telephone_number": "865-686-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LABORATORY RD",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306911",
            "telephone_number": "865-482-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "SUSAN",
        "credential": "PTA, CDP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "2880",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TN",
            "license": "2880",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Robert Ashley, D.PH.
• Atomic Care Home Health LLC
• Atomic City Family Dentistry, LLC
• Aaron J Aucker, DDS
• Kourtni Austin, LPC-MHSP
• Ellen Ashley Authement
• Sarah (Sally) Avery, PSY.D.
• Cindy E. Ayo, OTD, OTR/L
• Elizabeth Tenaglia Azel, MD
• Nawras K. Baban, M.D.

• Physical Therapy Assistant in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; 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.