Healthcare Provider Details

I. General information

NPI: 1861229916
Provider Name (Legal Business Name): JOSHUA STEVEN AUSTIN DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2024
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 W ROOSEVELT BLVD
MONROE NC
28110-2816
US

IV. Provider business mailing address

1026 W ROOSEVELT BLVD
MONROE NC
28110-2816
US

V. Phone/Fax

Practice location:
  • Phone: 863-273-3187
  • Fax: 336-827-4142
Mailing address:
  • Phone: 863-273-3187
  • Fax: 336-827-4142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberP23867
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: