Autumn Ambrose King, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 34574 Issued in CA

Practice address

670 E Calaveras Blvd
Milpitas, CA 95035-5442

Phone

(408) 934-4700

Fax

(408) 934-4701

NPI assigned

Apr 2, 2008

Last updated

Dec 15, 2009By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Richard P Carr Physical Therapy Inc

  dba Calaveras Physical Therapy

  • Physical Therapist
  • Milpitas, CA
  • NPI 1376525840
  NPD (past)
• Richard P Carr Physical Therapy Inc

  dba California Rehabilitation and Sport Therapy

  • Physical Therapist
  • San Jose, CA
  • NPI 1881676377
  NPD (past)

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1518130244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 SOBRANTE WAY",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940864807",
            "telephone_number": "408-733-3670",
            "fax_number": "408-245-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 E CALAVERAS BLVD",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950355442",
            "telephone_number": "408-934-4700",
            "fax_number": "408-934-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "AUTUMN",
        "middle_name": "AMBROSE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 34574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Jeeyon Kim, D.C.
• Jekyong Jay Kim, D.D.S., M.S.
• Julie Kim, PHARM.D.
• Sarah Kim
• Sung S. Kim, D.C.
• David William Charles Knight, RPH
• Koa and Vallarta Dental Corp (Alliance Dental Center)
• Michelle Kolinsky, PSY.D.
• Jyoshna Kolisetty
• Linda Gayle Kolstad, PH.D.

• Physical Therapist in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.