Active NPI
Autumn Ellis, DPT
- Physical Therapist
- Nokomis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PENDING
- Practice address
- 115 Tamiami TRL N Ste 8
Nokomis, FL 34275-2162 - Phone
- (941) 218-0158
- NPI assigned
- Jun 10, 2019
- Last updated
- Sep 15, 2026
- 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 | PENDING | FL | Primary |
Addresses
Primary practice location
115 Tamiami TRL N Ste 8
Nokomis, FL 34275-2162
Mailing address
115 Tamiami TRL N Ste 8
Nokomis, FL 34275-2162
Phone (941) 218-0158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT34734 | Other | FL | PHYSICAL THERAPIST LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Venice, FL 34292
Phone (941) 822-7143
3600 William Penn Way
Venice, FL 34293-5236
Phone (941) 483-0746
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.05 of 100
- Quality
- 27.45
- Improvement activities
- 40
- Cost
- 73.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility Physical Therapy & Sports Performance, LLC | Physical Therapist | Current | Accepting new patients |
| Flex Physical Therapy & Wellness LLC | Physical Therapist | Current | Accepting new patients |
| Empath Therapies, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
Locations
115 Tamiami Trl N
Ste 8
Nokomis, FL 34275
Phone (941) 218-0158
5955 Rand Blvd
Sarasota, FL 34238
Phone (941) 552-7500
1420 E Venice Ave
Venice, FL 34292
Phone (866) 226-9567
1525 Tamiami Trl S
Ste 604
Venice, FL 34285
Phone (941) 484-8107
834 Pinebrook Rd
Venice, FL 34285
Phone (941) 484-8107
Networks
- Freedom Health HMO Network
Organizations & group practices 5
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.
-
- Physical Therapist
- Nokomis, FL
- NPI 1285454249
-
- Physical Therapist
- Venice, FL
- NPI 1154640027
-
- Physical Therapist
- Coral Gables, FL
- NPI 1871972653
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1659930147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 TAMIAMI TRL N STE 8",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342752162",
"telephone_number": "941-218-0158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TAMIAMI TRL N STE 8",
"city": "NOKOMIS",
"state": "FL",
"postal_code": "342752162",
"telephone_number": "941-218-0158"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIS",
"first_name": "AUTUMN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PENDING",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "PT34734",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nokomis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.