Autumn Nicole Aneshansley, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1225532 Issued in TX

Practice address

3838 50TH St
Lubbock, TX 79413-3808

Phone

(806) 792-5522

Fax

(806) 785-7582

NPI assigned

Aug 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physical Therapy Associates, LPGroup PAC ID 2567447279, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Physical Therapy Associates, LP

  • Physical Therapist
  • Lubbock, TX
  • NPI 1790890937
  Medicare reassignment Care Compare group NPD
• Grace Clinic of Lubbock

  • Family Medicine Physician
  • Lubbock, TX
  • NPI 1912953357

  Physical Therapist

  Medicare reassignment NPD
• Grace Clinic of Lubbock

  • Multi-Specialty Clinic/Center
  • Lubbock, TX
  • NPI 1770237042
  NPD

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1407012115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 S LOUISVILLE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352244",
            "telephone_number": "580-302-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794133808",
            "telephone_number": "806-792-5522",
            "fax_number": "806-785-7582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 S Saint Louis Ave Rm 2325",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741205440",
            "country_code": "US",
            "telephone_number": "918-619-4668",
            "fax_number": "918-619-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANESHANSLEY",
        "first_name": "AUTUMN",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-01",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4099",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1225532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Suzanne Anderson, MA, LPC
• Taylor Anderson, PTA
• Wenona Yvonna Andress, LCSW
• Andrew Winslow McDaniel, DMD, P.a.
• Sherry Andrews, NNP
• Austin Anfinson, DO
• Angelo Kidney Connection Home Therapies PLLC
• Angels for Hire LLP
• Elizabeth Angerer, LVN
• Hitiura Anihia, PH.D, LMFT-ASSOCIATE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.