Healthcare Provider Details

I. General information

NPI: 1891985883
Provider Name (Legal Business Name): REBECCA LEIGH AUSTIN DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2007
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 TOWNE PARK DR STE 200
RINCON GA
31326-5167
US

IV. Provider business mailing address

7828 SAVANNAH HWY
NEWINGTON GA
30446-2646
US

V. Phone/Fax

Practice location:
  • Phone: 904-377-4856
  • Fax:
Mailing address:
  • Phone: 904-377-4856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT014464
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number9953
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT23399
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: