Autumn M. Daniel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH11606 Issued in AL

Practice address

100 Professional LN Ste B
Enterprise, AL 36330-2392

Phone

(334) 393-7500

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

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.

• Enterprise Open MRI, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Enterprise, AL
  • NPI 1740204346
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1881468031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310067",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363310067",
            "telephone_number": "334-393-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROFESSIONAL LN STE B",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302392",
            "telephone_number": "334-393-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "AUTUMN",
        "middle_name": "M.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AL",
            "license": "PTH11606",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH11606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennica Cowen, RBT
• Stephanie Renee Cox, NP-C
• Michelle A Cruz-Weeks, LPC
• Ghassan Dalati, MD
• Daniel E. Gadzala, M.D.
• Arianna Marie Daniels
• Chelsea Leigh Dankert
• Samantha Dansby, LPC
• Abigale Daugherty
• David H. Hayes, M.D., L.L.C.

• Physical Therapist in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.