Individual provider Active NPI

Austin Anthony Aucoin, PT, DPT

  • Physical Therapist
  • Raceland, LA
National Provider Identifier
1962235473
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11911 Issued in LA
Practice address
120 White Rose Dr
Raceland, LA 70394-2644
Phone
(985) 532-9662
Fax
(985) 532-3942
NPI assigned
Aug 21, 2024
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11911 LA Primary

Addresses

Primary practice location

120 White Rose Dr
Raceland, LA 70394-2644

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004557 LA Practitioner - Physical Therapist in Private Practice 9638619711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiofit Physical Therapy, LLCGroup PAC ID 3274767702, 36 clinicians

Practice addresses (Care Compare)

120 White Rose Dr
Raceland
Raceland, LA 70394-2644
Phone (985) 532-9662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Louisiana LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Aug 19, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

12627 Airline Hwy
Ste A
Destrehan, LA 70047
Phone (985) 603-4157

18641 Highway 3235
Galliano, LA 70354
Phone (985) 475-4555

13554 Highway 3235
Ste B
Larose, LA 70373
Phone (985) 475-4555

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1962235473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WHITE ROSE DR",
            "city": "RACELAND",
            "state": "LA",
            "postal_code": "703942644",
            "telephone_number": "985-532-9662",
            "fax_number": "985-532-3942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUCOIN",
        "first_name": "AUSTIN",
        "middle_name": "ANTHONY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raceland, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.