Austin Fothergill, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

CHIR.CH.61557755 Issued in WA

Practice address

827 Bellevue Way NE Ste 200
Bellevue, WA 98004-4295

Phone

(425) 753-2235

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By 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

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": "1721001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1922846070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 103RD AVE NE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980117232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 BELLEVUE WAY NE STE 200",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044295",
            "telephone_number": "425-753-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTHERGILL",
        "first_name": "AUSTIN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "WA",
            "license": "CHIR.CH.61557755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise C Fort, PH.D.
• Daniel Perry Fosmire, M.D.
• Julie Foss, L.M.P.
• Tammy Y. Foss, LMP-C
• Lucia Foster
• Richard Ryan Foucht, CB61447799
• Fountains Bellevue SL, LLC (The Springs at Pacific Regent)
• Four Corners Testing, LLC
• Jeffrey V. Fowler, MD
• Keri Fowler, LMP

• Sports Physician Chiropractor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Sports Physician Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.