Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Austin R Widick, DPT

Individual provider Physical Therapist · NPI 1609534205

Austin R Widick, DPT is a Physical Therapist in Private Practice in Surprise, Arizona. Qualified in 2021, 5 years ago. Practices with Foothills Sports Medicine and Rehabilitation LLC, a 173-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

13967 W Grand Ave Ste 100
Surprise, AZ 85374-3732
Phone: (623) 474-3952
Fax: (623) 474-3953
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 32088 (AZ)

Record details

NPI number1609534205
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 13, 2021
Certification dateDecember 13, 2021
Mailing address15410 S Mountain Pkwy Ste 112, Phoenix, AZ 85044-6691

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Foothills Sports Medicine And Rehabilitation Llc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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