Healthcare Provider Details

I. General information

NPI: 1982602645
Provider Name (Legal Business Name): NOELLE M AUSTIN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 GALLATIN PIKE
NASHVILLE TN
37216-2606
US

IV. Provider business mailing address

3610 GALLATIN PIKE
NASHVILLE TN
37216-2606
US

V. Phone/Fax

Practice location:
  • Phone: 615-227-3431
  • Fax: 615-227-3433
Mailing address:
  • Phone: 615-227-3431
  • Fax: 615-227-3433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number12518
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number2305208812
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number004444
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: