Crisanta Mejia Baguisa, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05009701A Issued in IN

Practice address

300 Windy Hill Dr
Lafayette, IN 47905-2862

Phone

(765) 477-7791

Fax

(765) 474-2986

NPI assigned

Oct 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Merrillville, IN
  • NPI 1053833657
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462
  NPD
• Therapy Etc Inc

  • Physical Therapist
  • Lafayette, IN
  • NPI 1033152764
  NPD (past)

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1093968539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WINDY HILL DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052862",
            "telephone_number": "765-477-7791",
            "fax_number": "765-474-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINDY HILL DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479052862",
            "telephone_number": "765-477-7791",
            "fax_number": "765-474-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGUISA",
        "first_name": "CRISANTA",
        "middle_name": "MEJIA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05009701A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamik Bafna, MD
• Diane Danner Bagnoli, D.D.S.
• Kristina Bagnoli, LMFT
• Michael Leonard Bagnoli
• Electry Saladaga Baguio
• Amy Bailey
• Colleen Baines, DDS
• Bradford Chandler Baisden, PT
• Amanda Lynn Baitz, MOT, OTR
• Esther Bakare

• Physical Therapist in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.