Provider Demographics
NPI:1164831194
Name:PATTERSON, AUSTILL BARRETT (PT, DPT)
Entity Type:Individual
Prefix:MISS
First Name:AUSTILL
Middle Name:BARRETT
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8068
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31908-8068
Mailing Address - Country:US
Mailing Address - Phone:706-320-5461
Mailing Address - Fax:706-660-8316
Practice Address - Street 1:2140 E UNIVERSITY DR STE A
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-1852
Practice Address - Country:US
Practice Address - Phone:334-321-0601
Practice Address - Fax:334-321-0605
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2020-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH7262225100000X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics