Active NPI
Autumn L Grey
- Physical Therapist
- Mount Kisco, NY
National Provider Identifier
1649087420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 053735
- Practice address
- 272 N Bedford Rd # 101
Mount Kisco, NY 10549-1166 - Phone
- (914) 864-0855
- NPI assigned
- Dec 14, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 053735 | NY | Primary |
Addresses
Primary practice location
272 N Bedford Rd # 101
Mount Kisco, NY 10549-1166
Mailing address
311 Nob Hill Dr
Elmsford, NY 10523-2439
Phone (570) 996-3239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053735 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734134400000",
"number": "1649087420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 NOB HILL DR",
"city": "ELMSFORD",
"state": "NY",
"postal_code": "105232439",
"telephone_number": "570-996-3239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 N BEDFORD RD # 101",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105491166",
"telephone_number": "914-864-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREY",
"first_name": "AUTUMN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-14",
"last_updated": "2024-12-14",
"certification_date": "2024-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "053735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.