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NPI Code Detail

MEDICARE: MS. NOELLE M AUSTIN PT

MEDICARE: MS. NOELLE M AUSTIN PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251H1200XHand Physical Therapist004444CT
22251H1200XHand Physical Therapist2305208812VA
3225100000XPhysical Therapist12518TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982602645
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NOELLE M AUSTIN PT
Provider Business Mailing Address
First Line : PO BOX 370
Second Line :
City : FORTSON
State : GA
Zip : 31808-0370
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3443 DICKERSON PIKE STE 190
Second Line :
City : NASHVILLE
State : TN
Zip : 37207-2533
Country : US
Telephone Number : 615-860-1580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 01/29/2021

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Directions to “ MS. NOELLE M AUSTIN PT” Practice Location

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