Provider Demographics
NPI:1548066079
Name:SLONE, AUSTIN JAMES (DPT)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:JAMES
Last Name:SLONE
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 1:17718 CORALLINA DR
Mailing Address - Street 2:
Mailing Address - City:MATLACHA ISLES
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1692
Mailing Address - Country:US
Mailing Address - Phone:571-420-3468
Mailing Address - Fax:
Practice Address - Street 1:455 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-2629
Practice Address - Country:US
Practice Address - Phone:239-703-7096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist