Autumn Ellis, DPT
Individual provider Active NPI Physical Therapist · Nokomis, FL
NPI 1659930147 · NPPES record last updated Sep 4, 2026
Key facts
- NPI
- 1659930147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PENDING (FL)
- Practice address
- 115 Tamiami TRL N Ste 8
Nokomis, FL 34275-2162 - Phone
- (941) 218-0158
- NPI assigned
- Jun 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empath Therapies LLC
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190909004041 | FL | Practitioner - Physical Therapist in Private Practice | 3274862792 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agility Physical Therapy & Sports Performance, LLC | Physical Therapist | Current |
Accepting new patients |
| Healthpro Heritage Rehab & Fitness, 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 |
| Flex Physical Therapy & Wellness LLC | Physical Therapist | Current |
Accepting new patients |
Locations
5955 Rand Blvd
Sarasota, FL 34238
Phone (941) 552-7500
834 Pinebrook Rd
Venice, FL 34285
Phone (941) 355-9601
1525 Tamiami Trl S
Ste 604
Venice, FL 34285
Phone (941) 484-8107
1420 E Venice Ave
Venice, FL 34292
Phone (866) 226-9567
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PENDING | FL | Yes |
Addresses
Primary practice location
115 Tamiami TRL N Ste 8
Nokomis, FL 34275-2162
Mailing address
365 N Havana Rd
Venice, FL 34292-2507
Phone (941) 218-0158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT34734 | Other | FL | PHYSICAL THERAPIST LICENSE |
Other providers in Nokomis, FL
- James Duquette
- Easter Seals Southwest Florida, Nokomis
- John William Eder
- Ali Hassan El-Sayad
- Elite Ambulatory Services LLC
- Face of Hope Foundation Inc.
- Jaclyn Zarling Felts
- Stephanie Fitzpatrick
- Flex Physical Therapy & Wellness LLC
- Michelle Flynn
All providers in Nokomis, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.