Individual provider Active NPI

Austin Dixon, PT, DPT

  • Orthopedic Physical Therapist
  • Greenville, SC
National Provider Identifier
1992502264
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
11904 Issued in SC
Practice address
104 Mauldin Rd Ste B
Greenville, SC 29605-1221
Phone
(864) 982-7895
NPI assigned
Feb 25, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 11904 SC Primary
Sports Physical Therapist 2251S0007X 11904 SC
Neurology Physical Therapist 2251N0400X 11904 SC

Addresses

Primary practice location

104 Mauldin Rd Ste B
Greenville, SC 29605-1221

Mailing address

104 Mauldin Rd Ste B
Greenville, SC 29605-1221
Phone (864) 214-6680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250502001331 SC Practitioner - Physical Therapist in Private Practice 2163948159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foundation Physical Therapy LLCGroup PAC ID 5597136507, 7 clinicians

Practice addresses (Care Compare)

104 Mauldin Rd
Suite B
Greenville, SC 29605-1221
Phone (864) 214-6680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11904SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Physical Therapy, LLC Neurology CurrentSince Apr 1, 2025 Accepting new patients

Locations

12 Waite St
Ste B1
Greenville, SC 29607
Phone (864) 214-6680

104 Mauldin Rd
Ste B
Greenville, SC 29605
Phone (864) 214-6680

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1992502264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAULDIN RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051221",
            "telephone_number": "864-214-6680",
            "fax_number": "864-309-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAULDIN RD STE B",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296051221",
            "telephone_number": "864-982-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "AUSTIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-25",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "SC",
            "license": "11904",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "SC",
            "license": "11904",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "SC",
            "license": "11904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.