Active NPI
Autumn Cotter, MS,PT
- Physical Therapist
- Philadelphia, PA
National Provider Identifier
1659886760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012442L
- Practice address
- 1020 Oak Lane Ave
Philadelphia, PA 19126-3340 - Phone
- (215) 224-9898
- NPI assigned
- Dec 12, 2017
- Last updated
- Dec 12, 2017
- 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 | PT012442L | PA | Primary |
Addresses
Primary practice location
1020 Oak Lane Ave
Philadelphia, PA 19126-3340
Mailing address
253 W Pine St
Audubon, NJ 08106-1554
Phone (609) 313-6020
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012442L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513036800000",
"number": "1659886760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "253 W PINE ST",
"city": "AUDUBON",
"state": "NJ",
"postal_code": "081061554",
"telephone_number": "609-313-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 OAK LANE AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191263340",
"telephone_number": "215-224-9898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTER",
"first_name": "AUTUMN",
"credential": "MS,PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2017-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT012442L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
- Margarita Cotes, MA
- Reegan Cotey, PHARMD
- Ernest Cotilus III, RPH
- George Cotsarelis, MD
- Alisa Cotter, SLP
- Lisa Cotterall, PT,DPT,CWS
- Naiga Cottingham, MD
- Cottman & Castor Pain Management
- Cottman 1 Pharmacy LLC (Cottman 1 Pharmacy)
- Cottman Ambulatory Surgery Center (Wills Surgery Center of the Northeast)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.