Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Autumn Gist

Individual provider Physical Therapist · NPI 1093676496

Autumn Gist is a Physical Therapist in Private Practice in Midland, Texas. Qualified in 2025, 1 year ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
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Practice location Address checks out

4409 W Wadley Ave
Midland, TX 79707-5328
Phone: (432) 617-3110
Fax: (432) 617-3112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5000 Hanover Dr, Odessa, TX 79761-2239 — (432) 550-4700

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1407646 (TX)

Record details

NPI number1093676496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025
Mailing address5000 Hanover Dr, Odessa, TX 79761-2239

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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