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

MS. Autumn Lebank, DPT

Individual provider Physical Therapist · NPI 1417221979

MS. Autumn Lebank, DPT is a Physical Therapist in Private Practice in Brooklyn, New York. Graduated from City University of New York School of Medicine in 2011, 15 years ago. Practices with Fanno Creek Clinic LLC, a 24-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
15
Trained at
City University of New York School of Medicine
Licensed in
NY
In the registry since
2012
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

745 President St
Brooklyn, NY 11215-1303
Phone: (503) 931-1946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 033968 (NY)

Record details

NPI number1417221979
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMarch 1, 2012
Last updated in NPPESDecember 10, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolCITY UNIVERSITY OF NEW YORK SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Fanno Creek Clinic Llc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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