Provider Demographics
NPI:1700945078
Name:STRINGER, AUSTIN LAROY (PT)
Entity Type:Individual
Prefix:
First Name:AUSTIN
Middle Name:LAROY
Last Name:STRINGER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 S 28TH AVE
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39401-7246
Mailing Address - Country:US
Mailing Address - Phone:601-758-4891
Mailing Address - Fax:601-579-5240
Practice Address - Street 1:1240 HIGHWAY 42
Practice Address - Street 2:
Practice Address - City:SUMRALL
Practice Address - State:MS
Practice Address - Zip Code:39482
Practice Address - Country:US
Practice Address - Phone:601-758-4891
Practice Address - Fax:601-579-5240
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT3127225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS02501059Medicaid
P00333432OtherRAILROAD MEDICARE
P00333432OtherRAILROAD MEDICARE
OTH000Medicare UPIN