MS. AUTUMN NICOLE ANESHANSLEY (MPT) – Physical Therapist, NPI 1407012115

MS. AUTUMN NICOLE ANESHANSLEY (MPT) is a healthcare provider. based in Tulsa, Oklahoma. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT. They hold a License No. 4099 (OK). The NPI Number for MS. AUTUMN NICOLE ANESHANSLEY (MPT) is 1407012115

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. AUTUMN NICOLE ANESHANSLEY (MPT)
NPI
1407012115
Phone
(918) 619-4668
Address
1111 S Saint Louis Ave Rm 2325
Enumeration Date
1 August 2008
Last Update Date
11 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067925522
Graduation Year
2008 (18 years ago)
PAC ID
5890859284
Group Practice PAC ID
5597768101
Professional Enrollment ID
I20150511001999
Address ID
TX794133808LU3838XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OK

Provider Addresses for MS. AUTUMN NICOLE ANESHANSLEY (MPT)

  • 1111 S Saint Louis Ave Rm 2325

    Tulsa, OK 741205440

    Phone: (918) 619-4668

    Fax: (918) 619-4662

    Type: Location

  • 3838, 50th Street, Lubbock, Texas, 79413, United States

    LUBBOCK, TX 794133808

    Phone: (806) 792-5522

    Fax: (806) 785-7582

    Type: Location

  • 3732, South Louisville Avenue, Sonoma-Louisville, Tulsa, Tulsa County, Oklahoma, 74135, United States

    TULSA, OK 741352244

    Phone: (580) 302-0571

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150511001999IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes83866$0
97140Therapy procedure using manual technique, each 15 minutes31348$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care20734$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes7818$0
97150Therapy procedure in a group setting6619$0
View full utilization report →

Insurance plans in this area (ZIP 74120)

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Provider's Procedures

MS. AUTUMN NICOLE ANESHANSLEY (MPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOK97001Physical therapy evaluation2320
PHYSICAL THERAPYOK97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes60929

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597768101View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physician AssistantTX
P O D I A T R YTX
Internal MedicineTX
Nurse PractitionerTX
Internal Medicine, EndocrinologyTX
-TX
Family PracticeTX
-TX
Diagnostic RadiologyTX

Reviews

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Frequently asked questions

How do payers reference MS. AUTUMN NICOLE ANESHANSLEY (MPT)?
For MS. AUTUMN NICOLE ANESHANSLEY (MPT), use NPI 1407012115 as the unique 10-digit identifier.
Is MS. AUTUMN NICOLE ANESHANSLEY (MPT) still an active registrant?
MS. AUTUMN NICOLE ANESHANSLEY (MPT) carries an active NPI according to the public dataset.
What clinical focus is listed for MS. AUTUMN NICOLE ANESHANSLEY (MPT)?
At a glance, MS. AUTUMN NICOLE ANESHANSLEY (MPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MS. AUTUMN NICOLE ANESHANSLEY (MPT)?
Directory geography for MS. AUTUMN NICOLE ANESHANSLEY (MPT) centers on Tulsa, Oklahoma.
Does MS. AUTUMN NICOLE ANESHANSLEY (MPT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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