Provider Demographics
NPI:1144943978
Name:JOHNSTON, AUSTIN JAMES (DPT)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:JAMES
Last Name:JOHNSTON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:663 JORDAN ST
Mailing Address - Street 2:
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71101-4748
Mailing Address - Country:US
Mailing Address - Phone:318-222-8892
Mailing Address - Fax:318-222-8893
Practice Address - Street 1:4970 BARKSDALE BLVD STE 900
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71112-4677
Practice Address - Country:US
Practice Address - Phone:318-747-8892
Practice Address - Fax:318-747-8893
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXCP018793T225100000X
225100000X, 225100000X
MS7442225100000X
LACP037005T225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist