Individual provider Active NPI

Esther Bautis, PT

  • Physical Therapist
  • Wasilla, AK
National Provider Identifier
1083243489
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3180 E Pamela Dr
Wasilla, AK 99654-9965
Phone
(908) 764-5672
NPI assigned
Apr 7, 2020
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3180 E Pamela Dr
Wasilla, AK 99654-9965

Mailing address

PO Box 870158
Wasilla, AK 99687-0158
Phone (908) 764-5672

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL carepatron Direct
CONNECT URL carepatron Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908003282 AK Practitioner - Physical Therapist in Private Practice 7113345174 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alyeska Therapy Center, IncGroup PAC ID 0042109936, 11 clinicians

Practice addresses (Care Compare)

401 E Bogard Rd
Wasilla, AK 99654-7108
Phone (907) 357-2578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alyeska Therapy Center, Inc. Physical Therapist CurrentSince Dec 1, 2024 Accepting new patients
Advanced Physical Therapy Inc Physical Therapist CurrentSince Sep 3, 2020 Accepting new patients

Locations

1917 Abbott Rd
Ste 200
Anchorage, AK 99507
Phone (907) 279-4266

3051 E Palmer Wasilla Hwy
Wasilla, AK 99654
Phone (907) 352-4800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1083243489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 870158",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996870158",
            "telephone_number": "908-764-5672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 E PAMELA DR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996549965",
            "telephone_number": "908-764-5672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTIS",
        "first_name": "ESTHER",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carepatron",
            "affiliation": "N",
            "endpointDescription": "emr software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emr",
            "address_1": "3180 E Pamela Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996549965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "carepatron",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "book appointments, documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "documentation",
            "address_1": "3180 E Pamela Dr",
            "city": "Wasilla",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996549965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wasilla, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.