Autumn Lesslie Redette Williams, PT, DPT - Medicare Physical Therapist in Tustin, CA

Autumn Lesslie Redette Williams, PT, DPT is a medicare enrolled "Physical Therapist" provider in Tustin, California. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice State-of-the-art Physical Therapy, Inc. and her current practice location is 2492 Walnut Ave Ste 140, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 544-2188.

Autumn Lesslie Redette Williams is licensed to practice in California (license number 301844) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811646714.

Contact Information

Autumn Lesslie Redette Williams, PT, DPT
2492 Walnut Ave Ste 140,
Tustin, CA 92780-6953
(714) 544-2188
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAutumn Lesslie Redette Williams
GenderFemale
SpecialityPhysical Therapy
Experience3 Years
Location2492 Walnut Ave Ste 140, Tustin, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Autumn Lesslie Redette Williams graduated from medical school in 2021
  NPI Data:
  • NPI Number: 1811646714
  • Provider Enumeration Date: 03/20/2022
  • Last Update Date: 03/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0345629515
  • Enrollment ID: I20220617000899

Medical Identifiers

Medical identifiers for Autumn Lesslie Redette Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811646714NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 301844 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
State-of-the-art Physical Therapy, Inc.549694895210

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Autumn Lesslie Redette Williams allows following entities to bill medicare on her behalf.
Provider NameState-of-the-art Physical Therapy, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1437179959
PECOS PAC ID: 5496948952
Enrollment ID: O20140625000891

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Autumn Lesslie Redette Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Autumn Lesslie Redette Williams, PT, DPT
11 Tioga Pl,
Irvine, CA 92602-0740

Ph: (714) 604-8730
Autumn Lesslie Redette Williams, PT, DPT
2492 Walnut Ave Ste 140,
Tustin, CA 92780-6953

Ph: (714) 544-2188

Reviews and Comments


Physical Therapist in Tustin, CA

Mr. Kenneth Randy Pinkerton, MPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 365 W 1st St, Tustin, CA 92780
Phone: 714-544-5565    Fax: 714-544-5570
John Djerbaka, P.T.
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 17251 17th St, Ste. A&b, Tustin, CA 92780
Phone: 714-832-2273    Fax: 714-832-2272
Rachel Libonati,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2492 Walnut Ave, #140, Tustin, CA 92780
Phone: 714-544-2188    
Mr. Alex Keuilian, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 13931 Carroll Way Ste B, Tustin, CA 92780
Phone: 714-988-8120    Fax: 714-988-8119
Jessica Phung, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2552 Walnut Ave Ste 130, Tustin, CA 92780
Phone: 714-508-1600    
Rehab And Revive Physical Therapy
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 3002 Dow Ave Ste 506, Tustin, CA 92780
Phone: 714-900-3880    Fax: 714-731-0932
Princess Roma Resplandor Malilim,
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2205 Carob Way, Tustin, CA 92782
Phone: 714-224-8339    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.