Autumn Gist

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1407646 Issued in TX

Practice address

4409 W Wadley Ave
Midland, TX 79707-5328

Phone

(432) 617-3110

Fax

(432) 617-3112

NPI assigned

Nov 24, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Odessa, TX
  • NPI 1053405977
  Medicare reassignment
• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Humble, TX
  • NPI 1366937591
  NPD
• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Midland, TX
  • NPI 1770891996
  NPD

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1093676496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 HANOVER DR",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797612239",
            "telephone_number": "432-550-4700",
            "fax_number": "432-550-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4409 W WADLEY AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797075328",
            "telephone_number": "432-617-3110",
            "fax_number": "432-617-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 Hanover Dr",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797612239",
            "country_code": "US",
            "telephone_number": "432-550-4700",
            "fax_number": "432-550-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIST",
        "first_name": "AUTUMN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grant Eugene Giles, D.D.S.
• Varsha Gillala, D.O
• Genia Gabriella Gillaspy, LPC
• Sherri Lamarr Gillham, MD
• Alexandra Gillson
• Keith Gist, CRNA
• Katie Ann Glenn
• Global Anesthesia Services PLLC
• Global Sleep Midland L.P.
• Danielle Nicole Goates, BCBA

• Physical Therapist in Midland, TX
• Providers in Midland, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.