Autumn Danielle Hull, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501011735 Issued in MI

Practice address

5222 N Royal Dr Ste D
Traverse City, MI 49684-6883

Phone

(231) 929-5980

Fax

(231) 929-7252

NPI assigned

Mar 9, 2007

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

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Great Lakes Therapy House Calls PC

  • Physical Therapist
  • Traverse City, MI
  • NPI 1649480674
  Medicare reassignment NPD
• Great Lakes Therapy Housecalls, P.C.

  • Rehabilitation Clinic/Center
  • Traverse City, MI
  • NPI 1093069734
  NPD
• William Sterling Margaret LLC

  • Physical Therapist
  • Novi, MI
  • NPI 1003946625
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396876249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5917 CHERRY BLOSSOM DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845058",
            "telephone_number": "231-943-0398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 N ROYAL DR STE D",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846883",
            "telephone_number": "231-929-5980",
            "fax_number": "231-929-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "AUTUMN",
        "middle_name": "DANIELLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501011735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A Hughes, D.O.
• Michael Victor Hughes, DNP
• Jason Alexander Hughey
• James Frederick Hulderman, DDS
• Alexandra Hull, DPT, ATC
• Brent Hull, PT DPT
• Hullman Family Chiropractic, PLC
• Jason Hullman, D.C.
• Jenifer Hullman, D.C.
• Jodi Marie Hummel, OD

• Physical Therapist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.