Active NPI
Autumn Huey
- Physical Therapist
- Cupertino, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43276
- Practice address
- 10208 Amelia CT
Cupertino, CA 95014-1059 - Phone
- (415) 637-7475
- NPI assigned
- Sep 27, 2016
- Last updated
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43276 | CA | Primary |
Addresses
Primary practice location
10208 Amelia CT
Cupertino, CA 95014-1059
Mailing address
10208 Amelia CT
Cupertino, CA 95014-1059
Phone (415) 637-7475
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Palmer, AK 99645
Phone (628) 777-3539
1051 E Bogard Rd
Suite 1
Wasilla, AK 99654-7174
Phone (628) 777-3539
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43276 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flex Home Therapy Services, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1051 E Bogard Rd
Ste 1
Wasilla, AK 99654
Phone (628) 777-3539
6200 E Beechcraft Rd
Wasilla, AK 99654
Phone (415) 637-7475
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1477002830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10208 AMELIA CT",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141059",
"telephone_number": "415-637-7475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10208 AMELIA CT",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950141059",
"telephone_number": "415-637-7475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEY",
"first_name": "AUTUMN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.