Lauren Austin, PTA
Individual provider Active NPI Physical Therapy Assistant · Leland, MS
NPI 1982127445 · NPPES record last updated Jul 17, 2017
Key facts
- NPI
- 1982127445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA5979 (MS)
- Practice address
- 201 Baker Blvd
Leland, MS 38756-3401 - Phone
- (662) 686-4121
- Fax
- (662) 686-4770
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA5979 | MS | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA5979 | MS | Yes |
Addresses
Primary practice location
201 Baker Blvd
Leland, MS 38756-3401
Mailing address
201 Baker Blvd
Leland, MS 38756-3401
Phone (662) 686-4121
Other providers in Leland, MS
- A & a Infusion & Specialty, LLC
- Lauren Michelle Adams
- Nicole Bradley Andrews
- Angel Keeper Adult Day Care
- Ruth C Baker-Forbes
- Bell Therapy, LLC
- Elizabeth Bell
- Lacie A Brackeen
- Destiny D Bradley
All providers in Leland, MS · Physical Therapy Assistant in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2017. 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.