Provider Demographics
NPI:1730836131
Name:ROY, AUTUMN STEFFENS (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:AUTUMN
Middle Name:STEFFENS
Last Name:ROY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:AUTUMN
Other - Middle Name:NICOLE
Other - Last Name:STEFFENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1121 51ST ST S
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35222-3921
Mailing Address - Country:US
Mailing Address - Phone:505-263-3720
Mailing Address - Fax:
Practice Address - Street 1:700 19TH ST S
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1927
Practice Address - Country:US
Practice Address - Phone:205-933-8101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPTH10257225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist