Individual provider Active NPI

Autumn Whitson, PT, DPT

  • Physical Therapist
  • Oklahoma City, OK
National Provider Identifier
1467216481
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6456 Issued in OK
Practice address
9402 N May Ave Ste a
Oklahoma City, OK 73120-2712
Phone
(405) 749-6720
NPI assigned
Feb 9, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6456 OK Primary

Addresses

Primary practice location

9402 N May Ave Ste a
Oklahoma City, OK 73120-2712

Mailing address

2737 NW 140TH St Apt 403
Oklahoma City, OK 73134-6168
Phone (817) 504-1824

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313000394 OK Practitioner - Physical Therapist in Private Practice 0941646921 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
H2 Health Oklahoma Outpatient Clinics LLC Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Valir Outpatient Clinics LLC PastSince Feb 1, 2024 Accepting new patients

Locations

8355 US Highway 277
#7
Elgin, OK 73538
Phone (580) 492-1112

7005 SE 15th St
Ste 200
Midwest City, OK 73110
Phone (405) 610-2488

700 NW 7th St
Oklahoma City, OK 73102
Phone (405) 609-3600

9402A N May Ave
Oklahoma City, OK 73120
Phone (405) 749-6720

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1467216481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 NW 140TH ST APT 403",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731346168",
            "telephone_number": "817-504-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 N MAY AVE STE A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202712",
            "telephone_number": "405-749-6720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSON",
        "first_name": "AUTUMN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.