Autumn Reynolds, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12521 Issued in TN

Practice address

1405 Hillsboro Blvd
Manchester, TN 37355-2107

Phone

(931) 954-1020

NPI assigned

Mar 6, 2019

Sex

Female

Sole proprietor

No

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.

• Privia Medical Group Tennessee LLC

  • Family Medicine Physician
  • Nashville, TN
  • NPI 1376110858

  TN

  Medicare reassignment Care Compare group NPD
• Results-Ast JV, LLC

  • Physical Therapist
  • Franklin, TN
  • NPI 1780291948
  Medicare reassignment NPD
• Carolina Physical Therapy and Sports Medicine Limited Partnership

  • Physical Therapist
  • Columbia, SC
  • NPI 1487180881
  Medicare reassignment NPD
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lawrenceburg, TN
  • NPI 1023775038
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Murfreesboro, TN
  • NPI 1093474769
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Mt Juliet, TN
  • NPI 1205582087
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Hendersonville, TN
  • NPI 1386301307
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Manchester, TN
  • NPI 1598422529
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • White House, TN
  • NPI 1851058879
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Clarksville, TN
  • NPI 1992462923
  Care Compare group
• Privia Medical Group Tennessee LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nashville, TN
  • NPI 1215694229
  NPD
• Carolina Physical Therapy and Sports Medicine, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Columbia, SC
  • NPI 1952491490
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group Tennessee LLC 141 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in SC, TN2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: autumn.mattis.1@25094.direct.athenahealth.com

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Autumn Mattis Former name

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1407314693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552107",
            "telephone_number": "931-954-1020",
            "fax_number": "615-221-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HILLSBORO BLVD",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373552107",
            "telephone_number": "931-954-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "AUTUMN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-06",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "MATTIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mallory Reeves, D.O
• Elizabeth Field Reinke, APN
• Rene C del Valle MD PLLC
• Respiratory at Home, Corp
• Results-Ast JV, LLC
• Michael Reynolds, LPC-MHSP
• Susana Elisa Rhodes
• Kimberly G Roberts, PHARM.D
• Savannah Roberts, PHARM.D.
• Rachel Rollins, APN

• All providers in Manchester, TN
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.