Autumn Brabham, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1372412 Issued in TX

Practice address

25216 Grogans Park Dr Ste a
The Woodlands, TX 77380-2175

Phone

(281) 881-7099

NPI assigned

Feb 10, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Baylor College of Medicine

  • Ph.D. Medical Genetics
  • Houston, TX
  • NPI 1881026664
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1053018952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 SAWDUST RD APT 231",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773804152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25216 GROGANS PARK DR STE A",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773802175",
            "telephone_number": "281-881-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "AUTUMN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1372412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Allen Box, APRN
• Bronwyn Prescott Boyd, DO
• Sarah Boykin
• Sheryl Boyle, LPC
• Hormozd Bozorgchami, M.D.
• Yelena Bracchini, MD
• Elissa Ann Bradberry, RD, LD, CEDS
• Elizabeth A Bradshaw, SLP
• Gayle Bradshaw, D.D.S, M.S.
• Todd George Brady, D.M.D.

• Physical Therapist in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.